The coming Medicaid battle with the Affordable Care Act – something has to give
One of the major tenets of the Affordable Care Act was state-by-state expansion of the Medicaid program to cover the poorest residents on a state-by-state basis. The law was originally written to withhold Federal reimbursement for Medicaid payments if states did not comply with the expansion of coverage. The Supreme Court ruled that the Federal […]
Will Obamacare coincide with a marked decrease in the number of private physician practices?
As the Affordable Care Act continues through it’s implementation benchmarks, it would be naive to believe that the culture of healthcare will not be changed forever as we have known it in our generation. For better or worse, Adam Smith’s “invisible hand” metaphor for the marketplace will move the provider of goods and services in […]
Small Staffing Firms Adjust for Tax Season
Most start-ups in the staffing industry are organized under the umbrella of an S-corp or an LLC. The reasons most opt for these choices rather than a C-corp are the single pass-through taxation applied to the S-Corp and LLC. Income from a C-corp. passed through to an individual is taxable to the recipient at individual […]
Obamacare and the Not-For-Profit Hospital Conundrum
Approximately 60% of the hospitals in the US were created within the legal context of not-for-profit status. This tax-exempt status has been enjoyed by healthcare facilities around the country as Government subsidies were awarded after World War II for mostly religious-affiliated entities providing care in local communities. One of the criteria in awarding tax-exempt status […]
Fiscal Cliff Notes
Congress finally executed a last minute legislative response to the impending tax increases and spending cuts that were scheduled to become law Jan. 1, 2013. It is too soon to evaluate this stopgap measure since legislators only received the final draft of over 100 pages a few minutes prior to the actual vote. This will […]
What about the “Fiscal Cliff”?
Much debate is occurring on Capital Hill concerning the so-called “Fiscal Cliff”. The “Fiscal Cliff” per se was a negotiating tool between Democrats and Republicans to once again kick the proverbial debt-ceiling debacle further down the road. The deal with the devil was simple and relatively quick. “Since we can’t decide today on what to […]
Phone Apps and Black Friday….retailers warming up.
This year most major retailers have started to warm to the notion that shoppers enter their brick and mortar sanctuaries with their smart phones in hand ready to cross-reference every conceivable retailer’s price. Prior to Black Friday of 2011, some retailers went as far as to ban cell phone use in their showrooms! The fear […]
VMS in Healthcare poised for a comeback
“As financial officers around the country try to make sense of the new staffing dynamic, the VMS will once again be front and center.”-Tim Teague, BlueSky MSS Tim Teague, President of BlueSky Medical Staffing Software, is blogging in conjuction with the Staffing Analysts at the Staffing Stream. “The Staffing Stream is a forum for the leading […]
Staffing Summit Take-aways
The recent healthcare staffing summit in Las Vegas provides interesting insight into the unique world of tempory labor in the healthcare sector. Co-incidentally, the day after the summit ended, the Bureau of Labor Statistics released a “Re-do” of the numbers released on unemployment. Not surprisingly, the second set of numbers significantly increased the unemployment figures […]