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NEWS FROM MULTIPLY - springhillcaregroup Springhill Care Group Join this Group! Report Abuse Welcome Nov 29, 2011 Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care. Tags: care group, florida group, gold, group, group florida, groupreview, health medicine, home care, korea, medicarefraud, of, seoulsouth, south, south korea, southkorea, southkoreagroup, springhill, springhill care, springhill caregroup, springhill florida, springhill group, springhillfraud, springhillgroup, springhillreview, warningto [ Show All Tags ]

Springhill Care Group Labor Group fights for better pay for Home Care Workers Americans live longer base from the statistics, thus making the population age and as it ages the need for home care workers will grow significantly. According to the Bureau of Labor Standards, the Home Care Workforce will grow from 1.7 Million to 2.6 million in 2018, but the people caring for seniors in their homes earn on average less than 10 dollars an hour and many do not get benefits. A number of those workers assembled at the Food and Medicine Headquarters in Brewer Thursday to encourage their Senators to make it a priority to improve pay, benefits and training for this growing workforce. Helen Hanson stood at a podium from her huddling under the tent and shared her financial struggles during her work as a home care worker. "My bills are paid but when the oil tank is down do I pay the mortgage or do I spend 350 dollars to put 100 gallons in the oil tank," she said. Although Hanson loves going into peoples' homes to care for them she couldn't make the ends meet. So instead, she went to work at a rehab facility as a certified nurse and she got better pay and benefits. This kind of problem is one example of a nationwide concern. "We have 3 million direct care health workers in the country right now and we're projecting 27 million seniors by 2050," Pointed out Reverend Mark Doty, one of those gathered at the Food and Medicine Rally. The pro workers group had a stage demonstration where they showed how hard their work is. The demonstration is even complete with a juggler to show how complicated it is for home care workers to juggle their responsibilities. Everything is happening while caring for a growing number of seniors and finding an easy solution may be a juggling act too. The issue becomes how to pay for a better wage for them after all agree that home care workers should be paid well. Source: http://news.springhillcaregroup.net/2013/05/14/labor-gr

SPRINGHILL CARE GROUP ON GOOGLE MAP - Town Center Suite 1900 Southfield, Michigan 48075 United States tel 248 351 2600 Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment.

View full sizeThe Robinson family, including three daughters and a niece, are shown at their home on Hillwood Road. Front row, from left: cousin Emilia Milling, 11; Lizzie Robinson, 10; Annah Robinson, 12; back row: Callie Robinson, 16; mother Aimee Robinson; and father Lee Robinson. (Maurice Gandy/Press-Register Correspondent) The Robinsons and their three daughters had just moved in shortly before Hurricane Katrina in August 2005, but were invited to stay the night with neighbors, who had 14 people in their home, to share their generator power, she said. Robinson discovered both Mobile and family tradition in the vintage 1937 home on the lane when he thoroughly renovated it in 2007-08. The home had original hardwood floors, a double coincidence, because Robinson is president of Overseas Hardwoods Co., and his grandfather was in the hardwood flooring business with the family-owned Mobile River Sawmill in Mount Vernon, Robinson said. Mobile River Sawmill first made hardwood flooring in the early 1930s - the mill was sold to Scott Paper Co. in 1963. The flooring was used in homes all over Mobile and could be identified beginning in 1937 by "MRS" and the grade of the flooring indented on the back of every strip of flooring, Robinson said. Every piece of flooring taken up during the 2007-08 renovation bore the "MRS" insignia. Robinson left some of the original flooring upstairs and replaced the 1937 flooring dow...

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment About Us Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care. We fully understand a need to a place that residents will be proud to call their home is what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families. Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community. Email us now at info@springhillcaregroup.net

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment.

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment. Assisted Living Assisted Living is desirable to people who need a little extra care with their everyday living. You will also find here theflexibility and security of owning your personal space, to have your valuable possessions and things around you. Resthome Level Care Resthome level care in a Ryman Village, offers residents the very best in clinical care, while receiving the benefits of living in our warm and welcoming community. Investor Center Springhill Group believes that if we remain focussed on providing excellentassistance to our residents and their families then we will be rewarded and honored. We are seeking to grow contacts in terms of retirement services, to meet the requirements of an elderly growing society which is increasing for the next couple years! Contact us now at… info@springhillcaregroup.net Living and Care Options Springhill Group living and care options are available depending on what the residents need and prefer. Independent Living The independent accommodations are occupied for those who wish to maintain a significant standard of flexibility, but also value the friendly relationship, the security, recreational facilities, and care that is provided by to them. The homes are designed to allow residents simple and easy household management encircled by warm and friendly neighbours.

sophiamostel: Springhill Care Group : 2012 U.S. Healthcare: UCR or '$99,750 Ear Wax Fraud'? Aetna Wants Court to Stop Hospital's UCR Billing On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of-network (OON) doctors, surgical centers and hospitals will "make it or break it", depending upon the outcome of this new Aetna lawsuit, as an emerging trend in managed litigations. "While the alleged $99,750 ear wax UCR fee may or may not be an isolated inadvertent error, the payor's new lawsuit to outlaw all OON UCR billing as fraud certainly represents a new 2012 trend and detrimental blow to all OON providers and 77% of insured Americans in private industry," says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance. "Failure to recognize the impact of the payor UCR legal actions under $99,750 ear wax anti-fraud strategies and to quickly act with compliant solutions, the OON market will most likely fail by the end of 2012," warned Dr. Zhou. According to the court documents, "Plaintiffs Aetna Health Inc. and Aetna Life Insurance Company (collectively, "Aetna") bring this action under the laws of thi

billiepalance: Springhill Group Florida:: Living and Care Options Springhill Group living and care options are available depending on what the residents need and prefer. Independent Living The independent accommodations are occupied for those who wish to maintain a significant standard of flexibility, but also value the friendly relationship, the security, recreational facilities, and care that is provided by to them. The homes are designed to allow residents simple and easy household management encircled by warm and friendly neighbours Assisted Living Assisted Living is desirable to people who need a little extra care with their everyday living. You will also find here theflexibility and security of owning your personal space, to have your valuable possessions and things around you. Resthome Level Care Resthome level care in a Ryman Village, offers residents the very best in clinical care, while receiving the benefits of living in our warm and welcoming community. sophiamostel: Springhill Care Group : 2012 U.S. Healthcare: UCR or '$99,750 Ear Wax Fraud'? Aetna Wants Court to Stop Hospital's UCR Billing On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital. According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there. Immediately after the incident, the Chinese government has expressed its disapproval about the entire affair, demanding an apology from the US for taking Chen in. "What the U.S. side should do now is neither to continue misleading the public and making every excuse to shift responsibility and conceal its wrongdoing, nor to interfere in the domestic affairs of China," said Chinese Foreign Ministry spokesman Liu Weimin. This incident came just when the US Secretary of State Hilary Clinton is visiting Beijing in a meeting with Chinese officials on security and trade talks. And although no one mentioned Chen's name, it is evident in their statements that the incident is on the spotlight as the 2 nations struggle to maintain common ground. Clinton said in her opening statement, "The United States believes that no state can legitimately deny the universal rights that belong to every human being - or punish those who exercise them. A China that protects the rights of all its citizens will be a stronger, more prosperous partner for the United State

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best…   At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff.   At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment.

Abstract: Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be "fraudsters" are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud "follows the money" - the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes. Number of Pages in PDF File: 27 Keywords: Health Care, Health Care Fraud, Crime, White Collar Crime Accepted Paper Series

I think you've made some truly interesting points. Not too many people would actually think about this the way you just did.

Home for the aged is a general term for a facility that cares for elderly people. It is not a question of where but a question of how. How is home for the aged can do good for our elderly? In a fast phase world like ours, finding time for fun and leisure is hard and finding time for family is harder. Sometimes we are left with no choice. We are forced to leave our elderly family members in a nursing home or more popular as home for the aged. There is always two sides in a story, leaving elderly family member in a caring home has advantages and disadvantages. Number of senior citizens suddenly seemed to multiply since 1950's. In 1900 the average life expectancy was forty-five, by 1950 the average life span was almost seventy years; the population has doubled but the number of people65 and over had quadrupled to become 8% of the total. In 1950's more and more population of "retirees" are supposed to get their pensions. Due to this case, extended families are seemed to be an obligation, where elderly had to stay with their sons, daughters or grandchildren. People then began wondering how to accommodate this burden. They started taking about nursing homes, retirement houses, or apartments where they can leave their elderly. Golden years are supposed to have a positive connotation but now the phrase developed into a different meaning. Instead of the "golden years" being now, I a one's old age golden refers to the good old days. Studies showed that people in developed countries are not only living longer, but also remain healthy for much of their lives, unlike in less developed countries, where the elderly tend to be plagued with serious illnesses. Causing them to live longer which means government has to support them because they are already retirees. In order to support them, one must work and working means no one to take care of the elderly. Elderly has a special healthcare although facilities like home for the aged are design

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment About Us Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care. We fully understand a need to a place that residents will be proud to call their home is what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families. Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community. Email us now at info@springhillcaregroup.net

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

It is normal for aging people to have a physical and mental decline and it happens in varying rates and this varying case sometimes needs a higher level of support. Those elderly who chooses to stay at their own home for as long as possible need somebody to constantly assess whether they are actually coping. And their children should do so but if the children live in a very far place this cant be possible so they need to assign somebody who is in regular contact with them to do the monitoring. But how can you determine if they need to be transferred to home care? Forgetfulness about household matters, it is sometimes normal but if it can costs their lives it is about time.  Going out and leaving the house unlocked  Losing keys and valuables  Stoves and ovens not turned off  Failure to place trash cans out for collection  Newspapers lying uncollected on the front lawn  Uncollected mail spilling out of the letter box  Household chores not attended to  The yard not kept tidy  Inability to care for the needs of a pet Lack of attention to personal care, if they let go of this they already need help.  Clothes not laundered as frequently as necessary  Inability to match colors when dressing  Dressing in inappropriate clothing for the time of day  Failure to keep scheduled medical appointments  Medication not being taken  A refrigerator containing mostly contaminated and unusable food  Weight loss due to illness or lack of proper dietary intake  Outdoor safety, if they are being a risk to themselves and to others it is time to get help.  Driving ability likely to cause accidents  Wandering around the neighborhood aimlessly  Getting lost  Forgetting where they live Inability to manage personal affairs  Bills that are unpaid  Leaving cash lying around the home  Losing money  Not getting to the bank to obtain cash for necessary purchases  Losing checkbooks and other documents Decline

Living and Care Options - Springhill Care Group | Springhill Group Florida - Home Care Springhill Group living and care options are available depending on what the residents need and prefer. Independent Living The independent accommodations are occupied for those who wish to maintain a significant standard of flexibility, but also value the friendly relationship, the security, recreational facilities, and care that is provided by to them. The homes are designed to allow residents simple and easy household management encircled by warm and friendly neighbours Assisted Living Assisted Living is desirable to people who need a little extra care with their everyday living. You will also find here theflexibility and security of owning your personal space, to have your valuable possessions and things around you. Resthome Level Care Resthome level care in a Ryman Village, offers residents the very best in clinical care, while receiving the benefits of living in our warm and welcoming community. LIVING AND CARE OPTIONS The independent accommodations are occupied for those who wish to maintain a significant standard of flexibility, but also value the friendly relationship, the security, recreational facilities, and care that is provided by to them. The homes are designed to allow residents simple and easy household management encircled by warm and friendly neighbours MORE RELATED TOPIC: http://springhillcaregroup.net/

http://news.springhillcaregroup.net Free Alzheimer's Training Available in all 50 States to Support Family Caregivers Alzheimer's disease is a fatal, progressive and degenerative disease that destroys brain cells. It is the most common form of dementia. Alzheimer's disease is not a normal part of aging. Symptoms include having difficulty remembering things, making decisions and performing everyday activities. These changes can affect the way a person feels and acts. There is currently no way to stop the disease, but research is improving the way provide care and will continue to search for a cure. Americans fear developing Alzheimer's disease more than any other major life-threatening disease, including cancer, stroke, heart disease and diabetes according to OMAHA, Neb. - November 13, 2012 - Home Instead Senior Care®, the world's leading provider of home care services for seniors, announced new survey results. More than 1,200 Americans was designed to gain perspective on the most pressing concerns associated with Alzheimer's, including diagnosis and the difficulties of caring for a loved one with the disease, according to the survey of Marist Institute for Public Opinion. According to Jeff Huber, president and chief operating officer of Home Instead, Inc. "The survey confirmed what our franchise owners had been hearing from their clients and their families - the majority of Americans feel unprepared to care for a loved one diagnosed with Alzheimer's. The need for support and education for these families is critical." Additional survey highlights include: o Nearly two-thirds of Americans (63 percent) have had a personal experience with someone with Alzheimer's and/or a serious memory loss problem. o 61 percent of Americans feel unprepared to care for a loved one diagnosed with the disease. o If diagnosed with the disease, Americans most fear the inability to care for oneself, and burdening others (68 percent); followed by losing memory of life and lov

http://news.springhillcaregroup.net/2013/05/02/patient-outcomes-improve-under-single-home-health-aides/ According to a recent study by SAGE Publications, individuals receiving home health services stand to experience better outcomes if cared for by the same aide day in and day out. According to the study Continuity in the Provider of Home Health Aide Services and the Likelihood of Patient Improvement in Activities of Daily Living, patients who see the same home health aide across a series of visits have a higher likelihood of improving in various activities of daily living (ADLs) compared to patients whose care is provided by multiple aides. Visiting Nurse Service of New York (VNSNY) is a large, urban, non-profit Medicare certified home health agency. Base from their studies, they found that individuals who were cared for continuously by the same aide had a 93% chance of improving their ADLs. Those who experienced low-continuity of care were roughly 14%-15% hardly to recover their ADLs involving home health admission and discharge than persons who were constantly visited by the similar aide. Those who experienced low-continuity of care is implying to care was spread out among a variety of aides over the course of a home health service period. Furthermore of note in the report, cases where patients had moderate-continuity did not considerably fluctuate from higher permanence cases in their likelihood of ADL development. Researchers note that the odds of improvement among cases with high continuity are greater than those for low continuity even if a greater part of cases in the study's populace enhanced in the figure and severity of ADLs between admission and discharge. "Ideally, patients should receive services from a single aide over the entire period of home care," writes the study's lead author David Russell, Ph.D, Center for Home Care Policy & Research at VNSNY. "However, a number of staffing constraints and operational obstacles often presen

As the American population grows rapidly, the field of healthcare becomes alert of the upcoming strong demand for senior healthcare providers. view link here: http://www.redgage.com/blogs/trishakolens/springhill-group-home-demand-for-personal-care-aides-expected-to-grow.html Personal care providers do not really do physically invasive therapies and are not under the supervision of a nurse, there are no existing federal qualifications in place for this profession. However, nursing aides are required by government to have certain certifications to ensure their capabilities. It is an essential measure to protect the senior population. For instance, a caregiver who is not alert may effectively endanger his charge and lead to disastrous results. Several states do have regulations in place to address the caregiving sector. In California, each county has to keep a record of healthcare providers that consists of background checks and referrals. While in Washington, aides should have finished 75 hours of basic training and pass an exam. However, others seem to be more focused on direct care providers in general when establishing relevant legislation. Actually, most of the elderly only needs assistance in day-to-day activities and do not need a medical professional to look after them. This is where the legislators need to address. Creating policies that concern caregivers is essential to the long-term care policy of any country. With the growing number of elderly people, the need for safe and effective caregiving for seniors is imperative.

Town Center Suite 1900 Southfield, Michigan 48075 (Town Center Suite 1900),Southfield, MI 48075 Building Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care. We fully understand a need to a place that residents will be proud to call their homeis what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families. Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community. Email us now at info@springhillcaregroup.net

Springhill Group Care - Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best… At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff. At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment. Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care. We fully understand a need to a place that residents will be proud to call their home is what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families. Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community. Email us now at info@springhillcaregroup.net

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.