Blue Cross Blue Shield Association’s Post

As a result of House Bill 4, our healthcare system has been transformed from one in which doctors were fleeing our state and hospitals were besieged by frivolous lawsuits to one that is the most robust and renowned in the world, and to which medical specialists of all kinds are flocking. Read more in the TLR Advocate: https://bit.ly/4ad8IDr. #txlege #txcourts #medicalliability #courts

Talk about throwing down the 340B and patient definition gauntlet! This is a very interesting interview with Tony Megna, the CEO and General Counsel of Genesis. I’m aready on record expressing the concern that, despite the District Court being clear that the Genesis patient definition decision is explicitly limited to that one entity, there will inevitably be voices that will try to leverage the case—contrary to its explicit limitations—as a referendum on the program as a whole. Enter, stage left, Mr. Megna. Blowing past the clear language of the Court, Mr. Megna takes center stage and broadly calls the case “a pivotal legal victory”. He presses further: HRSA is supposedly unable to take a position “in any manner” contrary to his view of case. He then engages in stage combat with NACHC, Genesis’ own trade association, for the apparent “sin” of trying to engage in reform proposal discussions with manufacturers. He levels this criticism, even while conceding that “[d]iscussion to find common ground is good”. (So, what’s the problem?) Then, not content at taking a swing at NACHC, he uses the “M” word—referring to HRSA. According to Mr. Megna, HRSA is guilty of “misconduct” involving the assertion of “false allegations”, presumably a reference to the very concerning findings that HRSA documented (quite convincingly, in my view) in its audit. The interview is equally interesting for what it does not say, as much as what it does say. • It does not indicate that, in the face of widespread concerns, Mr. Megna will be reducing his six figure (almost seven figure) salary. • Indeed, he does not address his compensation at all, even though the publicly available figures show that his compensation is decidedly high for someone serving as a not-for-profit executive. • He does not say that Genesis will be increasing discounts at the pharmacy counter for needy patients, in light of its enormous financial “reserves”, which previous reporting appears to show is substantially the product of Genesis’ 340B profits. • He does not state that he will limit, in any way, Genesis’ enormous contract pharmacy network that includes pharmacies thousands of miles from its stated service area. • He does not say that Genesis will take any steps to tighten, in any way, the supposed connection between it and a discount “patient”, the services provided to such a “patient”, or the relevant prescription. • He offers no response to the concern that his “patient” definition is so utterly devoid of any substance—whatsoever—that its adoption necessarily means that multiple covered entities will claim the same “discount” for the same “patient” and the same “drug”. I have been a strong advocate of carving out grantees from manufacturer policies, but rhetoric and actions like these are red meat to those that have contended that those carve outs would just encourage “bad actors” to act irresponsibly. #genesis #340b #duplicatediscounts #hrsa #nachc

As of April 2024, hospitals throughout England will be offered funding in order to implement ‘Martha’s Rule’ which aims to give seriously ill patients easy access to a second opinion, should their condition worsen. Read Emma Farrington's blog which explains more about how the rule came about and what this means 👉🏻 https://bit.ly/3JugQDi #blog #NHS #lawfirm #medicalcare #MedicalNegligence

Write "Yes" if you agree to this👇 Let’s all respect and acknowledge that doctors are the trained professionals who should be entrusted with treating our diseases and medical concerns. They dedicate their lives to understanding the complexities of human health, and we should give them the trust and opportunity to do what they do best. #RespectDoctors #HealthcareProfessionals #TrustTheExperts #MedicalCare #PatientCare #DoctorsKnowBest

We stand with you, recognising the challenges posed by inadequate medical care. Our commitment is to help you seek justice, accountability, and the compensation you deserve. #PoorMedicalCare #LackOfCare #InadequateTreatment #MedicalNegligence #HealthcareFail #MedicalMistake #PatientSafety #MedicalErrors #MedicalMalpractice #HealthcareSystem

Starting from 9 September 2024 in England and Wales all deaths will have to be referred to medical examiners. In this blog, we will give a quick overview of the incoming changes and how they are Revolutionising Death Certification. In this blog, we cover: 📝 Key Reforms in Death Certification 📝 Impact on healthcare providers and professionals 📝 Benefits and Implementations 📝 An infographic of the new process https://bit.ly/3yvA2ii #DeathCertification #MedicalExaminers #EstateAdministration #EstatePlanning #Executor #Estate Simon Hancox Simon Brand Charlotte Toogood Nigel Merchant Suzannah Taggart Lee Rossiter

The No Surprises Act (NSA) aims to protect patients from unexpected medical bills for out-of-network services. Understanding the NSA’s implications for emergency and urgent care centers is crucial for maintaining compliance and ensuring patient trust. #AskMarcum #healthcareindustry

The No Surprises Act (NSA) aims to protect patients from unexpected medical bills for out-of-network services. Understanding the NSA’s implications for emergency and urgent care centers is crucial for maintaining compliance and ensuring patient trust. #AskMarcum #healthcareindustry

A recent Ruling by Justice Philip Odoki seeks to address a growing concern in the health sector where private hospitals charge exorbitant medical fees. He ordered that the Heath Minister and the Attorney General should ensure that Legislation is put in place (within 2 years from the date of Ruling) to regulate and standardize pricing of medical services provided by private health facilities. A question then arises; how will such a well- intentioned piece of Legislation be enforced?

Ontario's Ministry of Health disputes claims of a doctor shortage amid arbitration with the Ontario Medical Association over compensation. The Ministry cites growth in physician numbers and income, while the OMA emphasizes patient access issues. Tap on the link to know more: https://lnkd.in/dzPiMVar #urbananews #newsupdate #Canada #OntarioHealth #DoctorShortageDispute #PhysicianNumbers #PatientAccess #CompensationArbitration