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Weekly News, Analysis, and Commentary

Reimbursement Features & News

Florida Orthopedic Group Settles False Claims Lawsuit

Sources: Public Domain

A $4.5 million settlement was reached between Southeast Orthopedic Specialists (SOS) and the Department of Justice (DOJ). “Patients are getting billed as though they’ve seen a doctor when in reality they’re being seen by technicians who aren’t necessarily being supervised, ” says Prosecuting Attorney Jason Mehta.


Untwisting the Obamacare Rubik’s Cube

Photo creation by RRY Publications, LLC / Source: Flickr

Orthopedic surgeon Dr. Tom Price is in charge of implementing President-elect Trump’s promise to repeal and replace Obamacare. He faces a 2, 000 page long law and a Rubik’s Cube of rules and regulations. But he is the right guy for the job having led the Republican effort over the last couple of years to design an alternative plan. Can Obamacare be untwisted? What does it mean for orthopedics? We find out.

The Cost of Donaldcare – Update

Photo creation by RRY Publications, LLC and

Donald Trump wants to repeal and replace Obamacare. “We have to take care of the people in our country. We can’t let them die on the sidewalks of New York or the sidewalks of Iowa or anywhere else.” Sounds good. Except his plan costs the public purse almost $500 billion over ten years and removes over 20 million people from insurance coverage. What’s in the plan? Read it here.


DOJ Sues to Block Insurance Mega-Mergers

Counties Most Affected by Aetna’s Merger with Humana / Courtesy of U.S. Department of Justice

The Big Five private insurance carriers—you know who they are—want to consolidate into the Big Three. The U.S. Department of Justice has sued to block them. The American Medical Association agrees and says that if the DOJ fails, private health insurance in America will be forever changed. For the worse. Hard to disagree.