OIG: For per-patient fees, fair market value is not enough

By Beth Anne Jackson, Brown & Fortunato   In its Advisory Opinion No. 22-09 issued April 25, 2022 (Opinion), the Office of Inspector General (OIG) concluded that a proposed arrangement (Arrangement) involving per-patient fees for specimen collection, processing, and handling paid by a clinical laboratory (Lab) to contracted hospitals (Hospitals) would generate “prohibited remuneration under the Federal anti-kickback statute, if the requisite intent were present,” constituting grounds for the imposition of sanctions, even if the...

What you need to know about non-competes in healthcare

By Stephen J. Roppolo, Regional Managing Partner, and Brett Holubeck, Associate, Fisher Phillips   Non-competition agreements are becoming much more common in the health care industry for doctors, medical salespersons, and numerous other employees. In Texas, there are a number of considerations for these agreements. But many doctors and even health care businesses fail to understand how these agreements work. Of course, non-competition agreements serve a critical function within the industry for a number of...

Veteran’s Administration Whole Health Program brings integrative medicine to a major health care system

By Victor S. Sierpina, MD, WD and Laura Nell Nicholson Professor of Integrative Medicine, Professor of Family Medicine at UTMB-Health and the John Sealy School of Medicine.   “Pay attention. Be astonished. Tell about it.” –Mary Oliver   Ask not “What is the matter with you?” Ask instead, “What matters to you?” This is a guiding mantra for the Veteran’s Administration Whole Health Program.   Practices such as acupuncture, yoga, massage, tai chi, clinical hypnosis,...

Public health emergency ensures Medicaid Coverage – but for how long?

By John Hawkins, President/CEO, Texas Hospital Association   When the COVID-19 pandemic first took hold of the nation, legislation quickly passed that has allowed most Medicaid enrollees to maintain coverage during the ongoing public health emergency. The federal Families First Coronavirus Response Act granted states an increase in federal Medicaid dollars as long as they paused disenrolling anyone from their Medicaid programs starting in March 2020. With the boost in Medicaid dollars Texas received, the...

Estimating tumor-specific total mRNA level predicts cancer outcomes

Researchers at The University of Texas MD Anderson Cancer Center have developed a new approach to quantify tumor-specific total mRNA levels from patient tumor samples, which contain both cancer and non-cancer cells. Using this technique on tumors from more than 6,500 patients across 15 cancer types, the researchers demonstrated that higher mRNA levels in cancer cells were associated with reduced patient survival.   The study suggests this computational approach could permit large-scale analyses of tumor-specific total mRNA...

Houston Methodist Sugar Land unveils innovative technologies for stroke treatment and brain surgery

Doctors at Houston Methodist Neuroscience & Spine Center at Sugar Land continue to advance neurological care with new technologies that improve patient treatment and safety.   “We are seeing rising numbers of stroke patients across the country, due to a variety of factors,” said Tsz Lau, M.D., a board-certified neurosurgeon at Houston Methodist Sugar Land Hospital. “We need to be able to treat more patients, faster, to ensure that we are protecting brain function and...

Rice chemists skew the odds to prevent cancer

The path to cancer prevention is long and arduous for legions of researchers, but new work by Rice University scientists shows that there may be shortcuts. Rice chemist Anatoly Kolomeisky, lead author and postdoctoral researcher Hamid Teimouri and research assistant Cade Spaulding are developing a theoretical framework to explain how cancers caused by more than one genetic mutation can be more easily identified and perhaps stopped.   Essentially, it does so by identifying and ignoring transition pathways that don’t contribute...

The intersection of succession plans and buy/sell agreements

By Catherine Lightfoot, Director of Healthcare, EEPB   When a physician embarks upon succession planning with regard to his or her practice, it should also include careful consideration of buy/sell (a.k.a. buy-in/buy-out) agreements. What to include. What to watch out for. When and how to execute. Both scenarios require professional assistance (legal and/or accounting) to ensure proper and thorough planning in the present, with provisions to modify in the future as things change…and they always...

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