Articles

In 1916, Americans danced to the phonograph, John D. Rockefeller became the world’s first billionaire, and more people rode a horse or walked to work than drove or rode in an automobile.
As America’s population continues to age, there’s more need than ever for increased access to diagnosis and treatment of rheumatic diseases. Consider that approximately 50 million Americans, or one in five adults, suffer from rheumatoid arthritis, lupus or other autoimmune diseases. Women are more likely than men to be affected, with some estimates indicating that 75 percent of those affected — some 37 million people — are female.
When Congress finally eliminated the SGR, which was the Medicare payment formula for physician services that caused much anxiety and frustration for physicians every December, it set the stage for a massive shift in the way Medicare pays physicians for their services. The Medicare Access and CHIP Reauthorization Act (MACRA) requires Medicare to begin paying physicians based in part on the “value” of the services they provide. Many believe this is the end of traditional fee-for-service, volume-based payments.
Ever since the first seemingly savvy saver stashed cash underneath a mattress, investors have turned toward safe harbors to help protect their hard-earned dollars. But despite a generally held belief, fixed-income investments and other finance fortresses aren’t fool proof in today’s turbulent market. There are hidden risks in seemingly sturdy spots — even holding cash — that could threaten the ongoing maintenance of your current standard of living.
The Fair Labor Standards Act (FLSA) new overtime rules are scheduled to go into effect on December 1, 2016. The new rule updates the regulations for determining whether “white collar” salaried employees are exempt from the FLSA minimum wage and overtime pay protections.
As all medical groups and practices battle some level of turnover with their physicians, it is important for any departing physician, and his or her employer, to know what obligations they have to notify patients of the departure. Ohio Revised Code § 4731.228 (the “Code”) states that health care entities are required to provide notice to a physician’s patient when that physician has been terminated. Under this section, “termination” means the end of a physician’s employment with a health care entity, for any reason.
Federal Judge Albert Diaz observed, “It seems as if even for well-intentioned healthcare providers, the Stark Law has become a booby trap rigged with strict liability and potentially ruinous exposure …”
Digital deformities, otherwise known as hammertoes, continue to be one of the most common conditions foot and ankle surgeons treat. It is estimated that nearly half of all forefoot surgical procedures are centered around digital deformity correction. It has been reported that about 20% of the United States population develops a digital deformity, with peak incidences in the 6th and 7th decades. Women are nearly 5 times more likely to develop digital deformities than men, and shoe-wearing societies demonstrate a significantly higher rate of deformity progression.
Ankle arthritis is a fairly common condition that occurs when the articular cartilage on the tibia and/or talus bones wears away. It most commonly occurs as a result of trauma (fractures or sprains), primary degenerative arthritis, or from an inflammatory condition, such as rheumatoid arthritis. 
In the first major trial of its kind, Cleveland Clinic researchers used a blinded rechallenge with atorvastatin or placebo to objectively confirm the presence of muscle-related symptoms in patients with a history of intolerance to multiple statins and found that evolocumab, a proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor, was a more effective option to lower cholesterol than ezetimibe in these patients. 
For all employers that sponsor retirement plans, make sure you continue to stay current on potential changes with respect to who may be considered fiduciaries of your plan. After more than five years of debate as to the direction of the meaning of an investment advice “fiduciary” under Section 3(21) of the Employee Retirement Income Security Act of 1974 (ERISA), the United States Department of Labor (DOL) is moving ahead with its attempt to broaden its scope by redefining the current five-part test.
Intermetatarsal neuromas are a common cause of forefoot pain. They involve perineural fibrosis of a plantar intermetatarsal nerve (typically of the third intermetatarsal space) mediated by repetitive microtrauma.