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HEALTHCARE

Arguably the most personal service offered and consumed in America, touching everyone's lives with potentially devastating physical, emotional, and financial impact.

Perhaps the most complicated and critical process in our society is that of obtaining, delivering, and financing healthcare.

There are three main players in today's healthcare industry: Patients, Providers, and Payers.

Patients.  Everyone in our society needs or will need healthcare at some time.  Equal, ready, and affordable access to quality healthcare is recognized as one of the greatest challenges facing us today.  Navigating the course of obtaining healthcare has evolved into one of the most difficult, frustrating, treacherous, and potentially devastating tasks for us all.  Seemingly no one understands how it all works and why it costs so much, but when needed, patients regularly feel at the mercy of the system.

Providers.  Not only are patients frustrated with healthcare, but providers are as well.  The doctors, hospitals, pharmacies, and specialized providers of all types are the victim of ever growing regulation and constraints imposed by the government and payers.  These regulations and constraints often appear to get in the way of providing quality care and are a seemingly insurmountable burden for providers to keep up with, much less comply with.

Payers.  The payers include not only insurance companies, but the federal and state government through a variety of government healthcare benefits (e.g., Medicare, Medicaid).  The laws governing the various payers, the benefits provided, and the method of administering the healthcare are extensive, complex, and often result in limited or no healthcare coverage for necessary treatment.

For a patient, understanding and dealing with providers and payers can be daunting; missteps and wrong decisions can result in enormous physical, emotional, and financial issues, even absent medical malpractice.  For providers, the business environment offers lower payments, higher risk, and often incomprehensible compliance requirements.

Allison Legal offers extensive experience in the business of healthcare, bringing understanding of patients' rights and responsibilities as well as providers' business, compliance, and risks.  Some of the healthcare areas in which Allison Legal offers service include: ● Health Insurance Policies, ERISA and Individual ● Denial of Treatment ● Denial & Delay of Payment ● Collections from Insurers ● Statutory & Regulatory Compliance (e.g., Stark, Fraud & Abuse, False Claims, Anti-Kickback) ● Medical Malpractice ● EMTALA ● Reproductive Services, Infertility, Pregnancy ● Medical Necessity ● Experimental Treatments ● Pharmacy, Prescriptions, & Drugs ● Medical Licensure ● Dental.

Whether you're a patient or provider with a healthcare issue, Allison Legal may be able to help.  Contact Allison Legal for a free initial assessment.

The information on AllisonLegal.com is not intended and does not create an attorney/client relationship.