Jones Health Law Podcast

By JAMAAL R. JONES, Sr., Esq.

We discuss a range of topics relating to Health Law and the Health Care industry... more

· Education

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FAQs about Jones Health Law Podcast:

How many episodes does Jones Health Law Podcast have?

The podcast currently has 78 episodes available.

Jones Health Law Podcast episodes:

November 27, 2024 EDUCATION: Merit-Based Incentive Payment System (“MIPS”)
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
The Merit-Based Incentive Payment System (“MIPS”) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), came into effect on January 1, 2017. The MIPS program was designed to adjust Medicare payments based on clinical performance. MIPS only applies to eligible professionals whose practice caters to Medicare Part B beneficiaries. MIPS evaluates the clinical performance of eligible professionals using a composite performance score, comparing performance on a measure to measure benchmark. The results indicate whether the eligible professional will receive a decrease, an increase, or the same Medicare reimbursement for Part B claims.
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6min
November 20, 2024 EDUCATION: Florida's Enhanced Government Enforcement on Pain Management Clinics
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
The DOH has implemented regulations governing the operation of pain management clinics throughout Florida. These regulations encompass several critical requirements.
All pain management clinics must register with the DOH or hold a valid certificate of exemption. Operating an unregistered pain-management clinic is a felony. Pain management clinics are subject to regular inspections to ensure their compliance with state laws and regulations. This requirement aims to maintain a baseline of operational integrity and patient safety.
The consequences for non-compliance with pain management clinic regulations can be severe.
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8min
November 13, 2024 EDUCATION: Dental Service Organizations
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw

Dental Service Organizations (DSOs) have become an increasingly popular model for dentists to effectively handle and manage administrative duties associated with running their dental practices. In fact, according to data from the ADA Health Policy Institute, thirteen percent (13%) of practicing dentists in the U.S. have affiliated with a dental service organization. Simply put, a DSO is an entity which contracts with dental practices to provide non-clinical, business management services. DSOs offer newly licensed dentists the opportunity to jump start their practice after successfully completing dental school.
Such an arrangement can allow dentists to focus completely on providing quality dental care in a clinical setting for their patients without worrying about fulfilling the time-consuming, administrative functions of their dental practice. DSOs can assist dentists with scaling their practice and achieve greater efficiencies. This article will highlight some key considerations to evaluate before proceeding with transitioning their dental practice over to a DSO model in Florida.
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8min
October 02, 2024 EDUCATION: Antitrust Battle Against COPA Laws
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw

In an effort to prevent anticompetitive behavior in the American healthcare marketplace, the Federal Trade Commission (FTC) has recently turned its attention to the rise in hospital mergers facilitated through the use of Certificate of Public Advantage (COPA) laws.

COPAs allow state agencies to approve proposed mergers among healthcare facilities following a satisfactory determination that the advantages of the merger outweigh the anticompetitive effects of consolidation in the healthcare marketplace. Typically, the state departments of health are charged with supervising and regulating mergers exercised under COPAs.

The FTC asserts that COPAs function as a mechanism to shield hospital mergers from scrutiny under state and federal antitrust laws subject to state action doctrine. The FTC argues that hospital mergers granted pursuant to COPAs are destined to cause adverse effects in the marketplace, such as higher prices for patients seeking medical care, a decline in the quality of care rendered, and a reduced level of access to various medical services.
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7min
August 07, 2024 EDUCATION: The 101 on Direct Primary Care
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
Direct primary care is a type of primary care that differs from traditional practices in terms of patient care and billing. In contrast to traditional models that rely on insurance billing, direct primary care operates on a membership model. In the membership model, patients pay a membership fee. This membership fee typically ranges based upon factors such as location, experience, and services offered. Employers may also offer direct primary care as an employee benefit.
Because the membership fee is the source of income for direct primary care practices, they do not accept insurance and do not participate in Medicare, Medicaid, or other government programs.
Due to the smaller number of patients that are commonly seen in direct primary care practices, one of the main advantages of this model is how patient-oriented it is. On average, physicians can spend more time with each patient, allowing for more quality care. Other examples of increased quality care may include reduced wait times,
customized treatment plans, and same or next-day appointments depending on the practice.
Under a direct primary care model, most routine medical examinations, treatments, and services are covered by membership dues. Unlike traditional insurance, the membership fees typically do not contribute to your deductible. Meaning, patients may still have out-of-pocket costs for visits outside the scope of primary care
such as specialists’ visits, hospitalizations, and other emergency medical needs. Because of this, patients may need to have additional insurance to cover those unforeseen events, which can be costly.
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9min
July 10, 2024 EDUCATION: Florida’s “Live Healthy” Initiative Provides Foreign Trained Physicians a Path to Licensure
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
In early 2024, the Florida Senate passed Senate Bill 7016 in an effort to expand the residents’ access to healthcare as the state’s population continues to grow. The law attempts to increase the number of doctors in the state through ways such as expanding medical residency programs in Florida and establishing ways to retain Florida medical students leading into their years of practicing.
According to the bill, part of the solution to retaining Florida medical students is removing certain barriers for foreign-trained physicians to practice in Florida. The Association of American Medical Colleges notes that one of the difficulties Florida medical students face when attempting to secure a residency in Florida is competition from overseas medical schools that pay to place their students in Florida clinicals.
Additionally, foreign-trained physicians must bear the burden of completing another residency in Florida before they are qualified to practice, despite already having a license elsewhere. With the bill, removing the barriers is meant to benefit Florida medical students and foreign-trained physicians alike.
With the residency requirement removed for qualified foreign-trained physicians and the ability to receive licensure through teaching, there may be quite a few individuals who want to use the opportunity to become a licensed physician in Florida. As of May, of this year, the law is expected to benefit over 30,000 Cuban physicians and other foreign-trained healthcare professionals who can qualify under the new requirements. Although the law was only passed early this year, it is possible that it may have a significant impact on the status of our healthcare system for years to come.
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6min
May 15, 2024 EDUCATION: What Does the FTC Ban of Non-Compete Agreements Mean for Healthcare Providers?
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
On April 23, the Federal Trade Commission (FTC) issued a final rule, banning new non-compete agreements with all workers. It is estimated that around thirty million workers
are subject to non-compete agreements, nationwide. The Commission’s final ruling states that non-compete agreements give rise to an unfair method of competition and banning non-compete agreements will result in reduced healthcare costs, new business formation, increased innovation, and higher worker earnings.
The rule applies to anyone who works for a for-profit employer, despite being paid or unpaid and independent contractors. Additionally, limited use of non-compete
agreements between franchises and franchisors is permitted. The rule also does not apply to non-compete agreements entered into by a person pursuant to a bona
fide sale of a business entity.
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7min
May 01, 2024 EDUCATION: Do I Need a Permit to Sell CBD Products in Florida?
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw

In 2018, the Agricultural Improvement Act of 2018 was signed into law, authorizing the production of hemp and removing hemp and hemp seeds from the Drug Enforcement Agency’s (DEA) list of controlled substances. The act also allowed the U.S. Department of Agriculture (USDA) to provide guidance to implement a program
that would help establish the regulatory framework regarding the production of hemp throughout the United States.

Following the Agricultural Improvement Act of 2018, Senate Bill 1020 in Florida was signed. This bill provided a state plan for the regulation of cultivating hemp within Florida. Under the bill, hemp-derived cannabinoids are not controlled substances so long as the hemp derivates
do not exceed a total delta-9 tetrahydro cannibal (THC) concentration of 0.3 percent on a dry weight basis. Any product with a THC concentration over 0.3 percent is considered a controlled substance.

It is important to note that the sale of topical CBD products is not required to be licensed by the FDACS and is rather regulated by the Florida Division of Business and Professional Regulation. Additionally, there may be further requirements for CBD products that contain dairy or frozen ingredients.
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7min
April 24, 2024 EDUCATION: Regulation of Unlicensed Activity by the Florida Department of Health
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
In the State of Florida, the Department of Health regulates the unlicensed practices of health care professionals. Florida Statute § 456.065 states that any practice, performance, or delivery of health care services by
an individual without a valid and active license to practice that profession is strictly prohibited.

Not only can practicing without a valid license accumulate hefty fines for an offender, but it can also impose criminal penalties and/or sentences. The Unlicensed Activity Unit works with law enforcement and the state attorney’s offices to prosecute any individuals practicing without a license.
The unlicensed practice of health care can have serious impositions on the administrative side and criminal side. An individual practicing without a valid license may be
delivered a cease-and-desist notice to halt their practice which can have further implications if the notice is not abided by. Furthermore, individuals practicing
unlicensed may be subject to citations and criminal proceedings that include fines and imprisonment.
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7min
March 20, 2024 EDUCATION: What are Work Relative Value Units (wRVUs) in Physician Employment Agreements
Web: www.JonesHealthLaw.com
Phone: (305)877-5054
Instagram: @JonesHealthLaw
Facebook: @JonesHealthLaw
YouTube: @JonesHealthLaw
When a physician provides a service, the reimbursement amount for that work is often measured through a metric referred to as work relative value units (wRVU). Although not every physician may be subject to wRVUs, such as physicians who have their own private practice, many physicians who work in large healthcare organizations
may be required to meet a minimum amount of wRVUs.

The goal of the wRVU model is for physicians’ compensation to be directly correlated to the amount of work they perform, regardless of the patient’s insurance plan or the revenue generated during the services. Focusing on the amount of work performed has proven to be more effective than the previous method of tracking a physician’s productivity by the number of patients seen and number of services performed. Additionally, calculating reimbursement simply off the amount charged to the patient can be ineffective as well because the amount does not necessarily reflect the underlying value of the work provided. As such, the current wRVU model is the standard compensation model that many physicians and employers use in the healthcare industry.
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8min

FAQs about Jones Health Law Podcast:

How many episodes does Jones Health Law Podcast have?

The podcast currently has 78 episodes available.