The initial arguments in the Supreme Court hearings about the individual mandate seem to indicate that the mandate will not be accepted. The general tone of the discussions had the 4 liberal Justices supporting the mandate, and the 4 conservative Justices against the mandate. Judge Clarence Thomas sat quietly and listened to the proceedings but did not ask any questions or make any comments. It is believed that Judge Thomas will not support the mandate, thus giving a 5 to 4 advantage to overturning the mandate. The next step is to determine if the individual mandate can be severed from the remainder of the AffordableRead More →

Yesterday the legal boxing began with the first round being about the Anti-Injunction Act (AIA) of 1867, and whether or not the court could actually hear arguments about the health care reform individual mandate if no penalties (paid to the IRS) had been paid yet. The AIA is the legal basis of all tax collections, and says that you have to pay the tax before you can challenge the tax in court. From the sounds of the arguments in the Supreme Court hearing yesterday, it appears the AIA is a non issue for the rest of the week’s health care reform arguments. Today the SupremeRead More →

Hospitals all across America are struggling to find ways to reduce costs and eliminate duplication of efforts. These cost cutting measures are part of the hospitals preparation to survive once health care reform fully begins in 2014. In California, hospitals are trying to figure out how to make due with fewer patients, because the amount hospitals will be paid for providing medical services will be based upon keeping patients from returning to the hospital. This is a whole new world for hospital administrators, and on top of that they face significant cuts to Medicare and Medicaid, which make up over 50% of California hospital revenues.Read More →