Tag Archives: Obamacare

How Recent Health Insurance Mergers May Affect Your Bottom Line

Since the Supreme Court upheld the Affordable Care Act for the second time in three years, there has been a frenzy of attempted mergers and acquisitions by healthcare insurance companies. Today, we’re going to take a look at five of the largest health insurers, their various offers and bids for mergers and present it in an easy to follow guide. These insurers are Anthem Inc. (which includes some, but not all, of the Blue Cross/Blue Shield entities), Cigna, UnitedHealth Group, Inc., Aetna Inc., & Humana Inc. Then, we are going to discuss what a merger would mean for providers who contract with these companies.

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The Scope of the Stark Law’s Prohibitions

In our previous post, we examined the origins and rationale underlying the Stark Law’s prohibition against physician self-referral.  In this post, we look at exactly what the Stark Law prohibits.

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The Stark Law Against Physician Self Referrals

The last twenty years have seen the federal government becoming increasingly involved in the relationship between doctors and their patients. Most recently, the Affordable Care Act (“Obamacare”) has contributed to the uncertainty and concern among medical professionals about the increasing role government will take in the management of individuals’ health care. Doctors, particularly those who accept Medicare and Medicaid patients, must be aware of the landscape of regulations in order to avoid violating the law and suffering potentially catastrophic consequences.

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