Executive Health

Executive Health Practitioner Associations are coming together to customize health programs for groups of executives and independent businesses with an objective of reducing the lost productivity time. At the core of many Executive Healthcare packages is an Executive Physical. In many instances, the doctor will travel to company facilities in order to perform a basic physical for all executive members. In others, as in the case of Elite IPA (Independent Practitioner Association), the office visit is an option, but executives are given the benefit of in-depth diagnostic treatment, which allows for an even more in-depth analysis of their health than what is typical. This level of the physical exam, given at a time that is convenient for the executive, is to have a positive impact on the bottom line. The average wait to see a physician is 68 minutes. There is no wait with the IPA Health associates for executives. IPA works around the schedule. Nor does IPA rush the visit. The visit is complete only when all of the concerns and questions answered. For those who prefer to communicate in writing, IPA is only an e-mail away. IPA physicians travel with hand-held e-mail devices for quick responses. Furthermore, IPA does not rush the visit. The visit is complete only when all of the concerns and questions are answered. Of course, there are times when one just wants to speak directly with the doctor on the telephone. One of the first things given to a new IPA patient is the doctor’s personal cell phone number. Wherever business or pleasure takes you, IPA is just a phone call away. Turn to IPA’s Executive Health for a complete executive physical that looks at health from all angles. True health and wellness is only achieved when there is a good understanding of the family history and personal medical history. IPA offers the latest in both non-invasive and blood-based cardiovascular screening testing. For early cancer detection, there may be reason to consider modern scanning approaches, including the PET technology. The integration of state-of-the-art cancer detection approach is a major feature of the program, as is ready access to leading specialists for preventive consultations.

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HIGH MEDICAID FACILITY

  (F) HIGH MEDICAID FACILITY DESCRIBED.—oAs added
by section 1106(2)(D) of HCERA. A high Medicaid facility
described in this subparagraph is a hospital that—
(i) is not the sole hospital in a county;
(ii) with respect to each of the 3 most recent
years for which data are available, has an annual percent
of total inpatient admissions that represent inpatient
admissions under title XIX that is estimated to
be greater than such percent with respect to such admissions
for any other hospital located in the county
in which the hospital is located; and
(iii) meets the conditions described in subparagraph
(E)(iii).
(G) PROCEDURE ROOMS.—In this subsection, the term
‘procedure rooms’ includes rooms in which catheterizations,
angiographies, angiograms, and endoscopies are performed,
except such term shall not include emergency
rooms or departments (exclusive of rooms in which catheterizations,
angiographies, angiograms, and endoscopies
are performed).
(H) PUBLICATION OF FINAL DECISIONS.—Not later than
60 days after receiving a complete application under this
paragraph, the Secretary shall publish in the Federal Register
the final decision with respect to such application.
(I) LIMITATION ON REVIEW.—There shall be no administrative
or judicial review under section 1869, section
1878, or otherwise of the process under this paragraph (including
the establishment of such process).
(4) COLLECTION OF OWNERSHIP AND INVESTMENT INFORMATION.—
For purposes of subparagraphs (A)(i) and (D)(i) of paragraph
(1), the Secretary shall collect physician ownership and
investment information for each hospital.
(5) PHYSICIAN OWNER OR INVESTOR DEFINED.—For purposes
of this subsection, the term ‘physician owner or investor’
means a physician (or an immediate family member of such
physician) with a direct or an indirect ownership or investment
interest in the hospital.
(6) CLARIFICATION.—Nothing in this subsection shall be
construed as preventing the Secretary from revoking a hospital’s
provider agreement if not in compliance with regulations
implementing section 1866.’’.
(b) ENFORCEMENT.—
(1) ENSURING COMPLIANCE.—The Secretary of Health and
Human Services shall establish policies and procedures to ensure
compliance with the requirements described in subsection
(i)(1) of section 1877 of the Social Security Act, as added by
subsection (a)(3), beginning on the date such requirements first
apply. Such policies and procedures may include unannounced
site reviews of hospitals.
(2) AUDITS.—Beginning not later than May 1, 2012, the
Secretary of Health and Human Services shall conduct audits
to determine if hospitals violate the requirements referred to
in paragraph (1). oAs revised by section 10601(b).