IRS Ruling Threatens Future of Commercial ACOs, Cost-Reducing Healthcare Providers

Connie Zhang Associate Editor Loyola University Chicago School of Law, JD 2018   Your healthcare may come from an accountable care organization, and you may not even know it. That could soon change now that the IRS has denied one commercial accountable care organization (ACO) the tax-exempt status granted to most nonprofit health care providers. …
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Two Former Nursing Home Executives and Two Accomplices Steal Over $16 Million Through Kickbacks and Overcharges

Alexander Thompson Associate Editor Loyola University Chicago School of Law, J.D. 2018   Two former executives of American Senior Communities and two accomplices have been indicted on numerous charges by the Department of Justice. The two former executives: CEO James Burkhart and Daniel Benson were arraigned on charges of health care fraud and conspiracy to …
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New regulations for airlines aim to help customers but what does it mean for compliance departments?

Gilbert Carrillo Executive Editor Loyola University Chicago School of Law, JD 2017   The Obama administration has recently announced new regulation proposals to address common passenger complaints about airline service. Some of these rules would: allow passengers to obtain refunds for delayed baggage, provide customers with more accurate information about performance of the airlines passengers …
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Could Apple Dive into the Medical App and Device Market Sooner Than We Think and How Will This New Technology Be Regulated?

Amanda Plowman Executive Editor Loyola University Chicago School of Law JD 2017 Alexander Thompson Assistant Editor Loyola University School of Law JD 2018   Apple has had a longstanding interest in breaking into the healthcare industry. Recently, Apple has hired a Toronto physician to work on expanding its health apps and Aetna will now provide …
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Federal Jury Convicts Home Health Services Agency for Multimillion Dollar Healthcare Fraud Conspiracy

Anais Holland-Rudd Associate Editor Loyola University Chicago School of Law, JD 2018     Pillar Garcia Lorenzo, (Lorenzo), former owner of Gold Care Home Health Services (Gold Care) located in Tampa, Florida was convicted by a federal jury on Thursday, October 6th, 2016 due to her role in a conspiracy to commit health care fraud …
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MACRA 101: Physician Fee Schedule Adjustments and the New Pick Your Pace Options

Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017   In this article, we will cover the anticipated reimbursement scheme for both MIPS and APMs, as well as briefly discuss two new reporting paths recently revealed to be available to clinicians in 2017. One of the most attractive pieces of the …
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Data Breach Notification Laws: Complex and Lacking Uniformity

Amanda Bogle Executive Editor Loyola University Chicago School of Law, JD 2017   When a data breach occurs in an organization, determining whether there is a duty to notify can get complicated quickly. In investigating a breach, the specific facts of the incident become extremely important, as not every breach will require notification. The residency …
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NCAA Scholarship Compliance: Financial Freedom or Financial Constraint?

Morgan Slade Associate Editor Loyola University Chicago School of Law, JD 2017   The National Collegiate Athletic Association (NCAA) has consistently monitored, regulated and investigated scholarship money given to college football players through eligibility regulations. While these scholarships are meant to be a form of financial freedom to players, abiding by NCAA compliance rules imposes …
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Tenet Healthcare Medicaid Kick-Back Settles for $514M

Mac Matarieh Associate Editor Loyola University Chicago School of Law, JD 2018   On October 3, 2016 Tenet Healthcare Corporation (Tenet) announced that they have reached a settlement with the United States Government for $514 million. The settlement stems from a violation of the anti-kickback law by four of Tenet’s hospital subsidiaries. The hospitals allegedly …
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Attending the 15th Annual Compliance & Ethics Institute

Corinne Nierzwicki Production Editor Loyola University Chicago School of Law, JD 2018   The Society of Corporate Compliance and Ethics recently hosted the 15th Compliance & Ethics Institute (CEI) in Chicago, Illinois. Several Loyola faculty members and students, including myself, attended CEI. I had an excellent experience at CEI networking with attendees and learning from the …
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