A new report released last Thursday provides three core
points for medical device companies on the impact on the
medical device industry of last year's landmark healthcare
reform.
1. Weakened Tax Rationale. The report from ROTH
Capital Partners, an Orange County, California-based investment
bank, discredits the theory that medical device companies will
realize a windfall from the large number of new patients that will
enter the healthcare system as a result of the Patient Protection
and Affordable Care Act. This large windfall has been the rationale
behind the newly established 2.3 percent medical device tax levied
on U.S. sales of medical equipment, also contained in the Patient
Protection and Affordable Care Act. Discounting the windfall that
medical device companies were to realize under the healthcare
reform severely weakens the rationale behind the 2.3 percent
medical device tax.
2. Underperformance in Massachusetts. The
report analyzed the performance of nine medical device companies in
Massachusetts, where universal healthcare reform passed in 2006, as
the basis of its findings. The report finds that eight out of nine
medical device companies did not see any sign of a windfall when
universal healthcare was implemented in Massachusetts. In fact, the
report finds that most companies "saw relative
underperformance" in Massachusetts.
3. Unlikely to See Growth. Although no
independent study has been conducted on the impact of Massachusetts
healthcare reform on the medical device industry, internal audits
have been performed. In an internal audit by the Kaiser Family
Foundation, the Massachusetts healthcare reform has been found to
have successfully reduced the number of uninsured to 6.3 percent in
2010, a 5 percent reduction from 2006 and more than two-thirds
lower than the national average, which jumped 7 percent to 18.4
percent in 2010. Such increases in patients have not translated to
growth for Massachusetts-based medical device companies.
The content of this article is intended to provide a general
guide to the subject matter. Specialist advice should be sought
about your specific circumstances.
Specific Questions relating to this article should be addressed directly to the author.
The Centers for Medicare & Medicaid Services and the Department of Health and Human Services Office of Inspector General have recently published parallel proposed rules revising, respectively, the Stark exception and Anti-Kickback safe harbor concerning electronic health record items and services.
CMS wants to change the way that it rewards non-qui tam whistleblowers who report alleged fraudulent or unlawful conduct related to Medicare or Medicaid.
Marilyn Tavenner received bipartisan support from members of the Senate Committee on Finance in her confirmation hearing to lead the Centers for Medicare and Medicaid Services (CMS) though a full Senate vote is being held up, the president released his FY 2014 budget proposal with health care reform and specified reimbursement reductions to providers and manufacturers totaling $400 billion over 10 years sprinkled throughout it, and Department of Health and Human Services (HHS) Secretary Sebelius
Understanding the complexities of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules is often a challenge for health care providers and consumers.
The news from the Office of the National Coordinator for Health IT (ONC) about the revocation of the electronic health record (EHR) certifications of two EHR products that had previously been certified will have tremendous ramifications not only on the EHR vendor losing its certifications, but generally on providers and vendors as well.