All health care providers need to be aware of how recently enacted changes to the federal False Claims Act (FCA) may affect them, particularly in the areas of refunding overpayments to the government and filing claims with Medicare and Medicaid managed care plans. Here is an excellent article on the subject by lawyers at Ober Kaler.

The Federal Trade Commission staff has announced in the past that it will not challenge a plan by a physicians' association that seeks to negotiate PPO contracts with health insurance companies on behalf of all association members pursuant to a clinical integration program. On such program was developed by the Greater Rochester Independent Practice Association.

In recent months, I’ve heard more and more complaining about overhead by physicians practicing in all types of medical practices, large, medium, and small of size. Well here is my simple response to all of this: IT’S NOT ABOUT OVERHEAD ANYMORE – IT’S ALL ABOUT THE TOP LINE!!!!