Status of Health Insurance Exchanges in Michigan
by Theresamarie Mantese and Gregory Nowakowski
Part 2 from January 2013: The 2010 Patient Protection and Affordable Care Act sustained a hard-fought court challenge. With that challenge over, the long road to execution of this statute is underway. Now, the task for each State is how to implement its various provisions. One of the goals of the Affordable Care Act is to extend health coverage to more than 30 million uninsured Americans beginning in January 2014. A critical provision in accomplishing this goal is the establishment of health insurance exchanges. Read More PDF
Part 1 from April 2012: On March 23, 2010, the United States Congress passed substantial health care reform (Health Care Reform). There has been much debate in this country over whether Health Care Reform will improve the delivery of health care in the United States. One significant improvement that Health Care Reform was intended to accomplish was to increase access to health care through an expansion of insurance coverage. Read More PDF
Timeline for Key Provisions of the
Patient Protection and Affordable Care Act for 2013-2014
Mercedes Varasteh Dordeski, Foley & Mansfield, PLLP
Tariq Hafeez, Fausone Bohn LLP
View the Timeline PDF
Licensure & Certification: Process & Investigations
Obtaining license as a health care provider in the State of Michigan is under the jurisdiction of the Department of Licensing and Regulatory Affairs. The vast majority of professions are subject to regulation and licensure by LARA's Bureau of Health Professions, and its many licensing boards.
Chapter 1 (by Debra A. Geroux) provides a road map for individuals to utilize as a starting point in their pursuit of licensure in one of the many health care professions.
Chapter 2 (by Robert S. Iwrey) provides an overview of the typical process followed by Michigan's Bureau of Health Professions in its investigation and prosecution of health care providers for alleged violations of Michigan's Public Health Code and the collateral legal effect that imposed sanctions can have upon the health care provider.
View the Whitepaper 1MB PDF
Affordable Care Organizations in Michigan
A Whitepaper on ACOs & Michigan Law
By Arthur deVaux, Michael James, Suzanne Nolan, and Christina Torossian
Read the Full Whitepaper PDF
A cornerstone of health care reform is the development of a new patient care model, known as an accountable care organization (ACO), that is designed to reduce fragmented or unnecessary care and excessive costs for Medicare fee-for-service beneficiaries. The Patient Protection and Affordable Care Act of 2010 (ACA) authorized the creation of the Medicare Shared Savings Program, which allows providers to share in the cost reductions associated with more effective health care.
While much has been written about ACOs on a federal level, ACOs must exist as a legal entity formed under state law—and accordingly, operate in compliance with those state laws.
The purpose of this whitepaper is to provide an overview of the key issues associated with organizing, creating, and operating an ACO, and the relationship between the ACO objectives on a federal level and the unique constraints of Michigan law. As ACOs are yet in their infancy, it is impossible to provide a detailed blueprint on how ACOs should or will function. Rather, this whitepaper will highlight the key issues that health care providers and their counsel must consider when forming or participating in an ACO.
Michigan Bar Journal, June 2011
Fraud & Abuse Statutes & Regulations
Medical Records Retention Manual
Mini-Manual on Confidentiality
Members' first copy is—free
Each additional copy—$30.00
Each Non-member copy—$40.00
10 copies or greater—$20.00