Biomedical subjects

Patrick K O'Hare

Publications and source records attributed to Patrick K O'Hare.

5 recordsLinked to original sources

PubMed2005

Beyond saber rattling.

New legislative proposals are threatening aggressive regulation of tax-exempt healthcare providers. The proposals pertain to operations, governance, additional tax filing requirements, and enforcement. The proposals signal the determination of Congress to eliminate any perceived abuses among exempt healthcare organizations through increased scrutiny and regulation. Healthcare financial managers should monitor any developments related to the proposed legislation and participate in hearings and lobbying regarding these issues.

Health Facilities↗

PubMed2005

Pay for performance: will your hospital be ready?

With increased payment-or, in some cases, even the ability to contract with a payer-likely to be tied to the achievement of quality measures, providers need to: work with physicians in developing associated care delivery protocols, establish compliance mechanisms that are acceptable to clinicians and meet appropriate regulatory and legal standards.

Aged↗

PubMed2004

The new Medicare Advantage a disadvantage for providers?

The Medicare Advantage program, a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, encourages providers to think about dealing with Medicare Advantage plans the way they now deal with commercial payers. Consequently, the Medicare Advantage program could either benefit or harm providers.

Benchmarking↗

PubMed2003

OIG targets contractual joint ventures.

A recent OIG Special Advisory Bulletin raises questions for providers involved in joint ventures. The Bulletin describes several characteristics that the OIG views as potentially suspect, including a referral stream controlled by the provider initiating the joint venture and the use of a wholly owned subsidiary of the provider to bill and collect for services. According to the OIG, profits paid by the subsidiary to the provider owner in such "suspect contractual joint ventures" could constitute illegal remuneration for referrals.

Contract Services↗

PubMed2002

Sarbanes-Oxley raises red flag for not-for-profits.

In the near future, not-for-profits likely will feel the effects of these Sarbanes-Oxley directives: Establish audit committees with independent membership (precluding senior managers from being members) and make corresponding changes to corporate bylaws; Meet a higher standard for financial reporting, including increased disclosure and system certification representations as part of annual audits; Adopt a code of ethics for senior financial officers; Avoid senior executive compensation packages involving personal loans from the corporation; Ensure that board members are appropriately qualified and free of conflicts of interest.l

Accounting↗