The regulatory environment has dramatically changed with the passage of the federal Affordable Care Act and various initiatives at the state level, like Florida’s new Statewide Medicaid Managed Care Program. Reimbursement and delivery models have further shifted toward risk-bearing entities like HMO’s and ACO’s. These forces have led to horizontal consolidation of providers and vertical integration of service and payment functions. Physicians, medical equipment providers, pharmacies, clinics, assisted living facilities, ambulance services, staffing agencies, urgent care centers, hospitals and health systems all need guidance to face these new challenges.
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