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The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 ' commonly known as federal health care reform ' will significantly impact lawyers endeavoring to keep their clients informed on the reform's effect on their health-care practices and businesses. From compliance to quality improvement to reimbursement, the changes are far-reaching. Certain segments of reform will impact health care clients' practice guidelines, patient load, reimbursement structure, and exposure to litigation and administrative proceedings. Lawyers must inform their health-care clients on compliance requirements and be prepared to defend them in compliance hearings and litigation.
Quality
Health care reform mandates a strong quality improvement initiative with compliance incentives for those providers accepting Medicare and Medicaid patients. According to the Department of Health and Human Services (HHS), the goal is for the Centers for Medicare and Medicaid Services to restructure payment systems to encourage providers to offer the highest, most efficient level of care while curtailing costs.
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