PracticeLink Magazine


The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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SUMMER 2014 | 21 than on fee-for-service. They also agreed that the payment system did not have to be a zero-sum game and that all physicians who meet quality guidelines could be eligible for increased payments. Congress could not agree, however, on how to pay for the new payment system, the cost for which is estimated to be between $128 and $180 billion over 10 years. So Congress, as part of the Protecting Access to Medicare Act, voted for the 17th time to suspend application of the formula and its reduction in payment rates. ¥ Two-Midnights Rule: A third feature of the Protecting Access to Medicare Act was to extend the moratorium on the Centers for Medicare and Medicaid Services' enforcement of the Two-Midnights Rule. Under the rule, a patient's admission to the hospital is usually considered "reasonable and neces- sary" if the patient stays in the hospital for two midnights. If the patient is admitted to a hospital for less than that, Recovery Audit Contractors may impose penalties. Under the act, the audit contrac- tors will not be able to audit for enforcement of the rule until April 1, 2015. ¥ Employer mandate for medium- size companies: The obligation of companies with 50 to 99 full-time employees to provide health insur- ance to their employees has been postponed from Jan. 1, 2015 to Jan. 1, 2016. The mandate—referred to in the law as "employer shared responsibility"—was delayed by rules issued by the Treasury Department. In order for a compa- ny with 50 to 99 employees to postpone their obligation to provide insurance, the employers will need to certify that they have not laid off any employees in order to be under the 100-employee limit. Employers with 100 or more employees still will have to meet the Jan. 1, 2015 deadline. Though the Affordable Care Act is accomplishing its primary purpose—providing health insur- ance to more individuals—several administrative aspects of the program have been diff cult to implement, and the time for full implementation has been delayed. ● Jeff Atkinson ( teaches health care law at DePaul University College of Law in Chicago. Start your job search and enter to win an American Express gift card at Employment & Private Practice Models • Tailored Compensation Packages Student Loan Repayment • Residency Stipends • Immigration Assistance LifePoint Hospitals is a leading hospital company dedicated to providing quality healthcare in over 60 communities across the nation. LifePoint is a place where physicians want to practice and where our partnerships with excellent practice groups and reputable academic organizations makes us a top choice. We have over 200 opportunities nationwide covering all specialties so please email or call us for details. 866-864-2680 • OPPORTUNITIES: Family Medicine Neurology Pediatrics Gastroenterology OB/Gyn Ophthalmology Pulmonology Psychiatry Contact: Internal Medicine General Surgery Orthopedic Surgery ENT Endocrinology Cardiology Rheumatology Urology Contact: WIN 2 4 3 - S u m 1 4 . i n d d 2 1 243-Sum14.indd 21 6 / 1 2 / 1 4 1 : 3 0 P M 6/12/14 1:30 PM

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