Media Mentions
2010
Ankur Goel was quoted on June 21 in Modern Healthcare regarding the new health reform law’s expansion of penalties for health care providers that fail to return Medicare and Medicaid reimbursement overpayments to the government within 60 days after they are discovered. Unanswered questions about when the restitution period starts if an overpayment is discovered mean, said Mr. Goel, “The challenge is, how does a provider act in a responsible, straightforward way in meeting its legal obligation but in a context where not everything is always clear.”
Ankur J. Goel, Health, Health - Insurance
Christopher Jedrey was interviewed February 24 by Health Leaders Media concerning the interaction between potential health reform legislation and ongoing consolidation in the health care industry. "Consolidation is ongoing on the provider and the insurer side, and will come from the cost and quality pressures that are driving reform legislation," Mr. Jedrey said. He noted that the last reform effort in the 1990s was a major driver for consolidation on the insurer side, and now believes that "the pendulum is swinging back" toward more consolidation among providers, both physicians and hospitals. "Providers are scrambling to catch up with the insurers to consolidate and achieve a similar level of cost efficiencies, particularly as physicians seek to participate in the value-based purchasing systems of hospitals," Mr. Jedrey stated, "and insurers are working collaboratively with the provider community to help realize their cost reduction goals."
Christopher M. Jedrey, Health, Health - Insurance
2009
Joan Polacheck was quoted in the December 2009 issue of Inside Counsel regarding health care reform legislation being considered by Congress. She stated that provisions to fight fraud by strengthening requirements that health care organizations return overpayments quickly will play a key role in funding the overall plan. “There will be enhanced scrutiny of the relationship between health care providers and insurance companies,” Ms. Polacheck stated, which will create increased pressure to identify and refund overpayments.
Joan Polacheck, Health, Health - Insurance, Reimbursement/Fraud & Abuse
