Ancillary and long-term care centers relate to primary care and within their own broad categories: diagnostic, therapeutic and custodial. If a primary physician sends you for an x-ray of your arm, the physician is using a diagnostic ancillary service. If after treating your arm, the physician sends you to a physical therapist for proper exercises, the physician is using a therapeutic ancillary service.
Understanding these relationships in conjunction with a thorough grasp of the major issues and risks facing ancillary and long-term care centers gives you an edge on your competition.
Significant issues include:
Pfizer recently announced a major restructuring into three business segments. The move followed an unsuccessful attempt by the company to market its OTC, or Consumer Healthcare segment as it will be named under the new regime. The reorganization will position the company’s most promising growth area as its rebranded Innovative Medicines segment with the existing business lines from the old segment, as well as adding biosimilars and a new hospital business unit.
Revenue Procedure 2018-27 provides relief for those with family coverage under high deductible health plans (HDHP) in regards to the annual deductible contributions limit for 2018 health savings accounts (HSA) under Internal Revenue Service Code section 223. The maximum coverage was initially issued as $6,900 on May 4, 2017. On March 2, 2018 the limit was reduced to $6,850 after tax reform changed the calculation for 2018 and future years.
In a recent announcement, the IRS indicated that it will begin sending notices to employers that have failed to comply with the employer responsibilities related to the Affordable Care Act (ACA). For the 2015 calendar year, the IRS plans to issue Letter 226J informing applicable large employers of their potential liability for an employer shared responsibility payment (ESRP), if any, in late 2017.
As part of the Affordable Care Act (ACA), one of the many excise taxes imposed by this act is again quickly approaching. The Patient-Centered Outcomes Research Institute (PCORI) fee is an excise tax imposed on health insurance issuers and plan sponsors of self-insured health plans effective for plan years ending on or after Oct. 1, 2012.
The Affordable Care Act (“ACA”), otherwise known as Obamacare, has been in the headlines lately as Republicans work to replace the ACA or otherwise repeal it entirely. In recent days, efforts to replace the law have fallen through as certain Republican senators have pledged to oppose it. The debates surrounding the ACA have also brought the Net Investment Income Tax (“NIIT”) into the spotlight.