Quality of care allegations against long term care providers are a focus for the Biden administration, the Department of Justice (DOJ), and the HHS-OIG – all of whom are targeting providers whom they deem to be providing grossly substandard care to their residents. For example, in June 2022, the DOJ filed a high-stakes lawsuit under the False Claims Act against nursing homes for allegedly providing grossly substandard skilled nursing services to residents. Similarly, in May 2021, the DOJ reached an $11.2 million settlement with a nursing home provider to resolve allegations that the company provided grossly substandard nursing care in violation of the False Claims Act.
New programs like Hospital-at-Home and Acute-Care-at-Home are giving health systems an opportunity to reduce inpatient traffic and give patients the care they need in their own homes.
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Recent CMS and CDC rulings offer hope that health systems will show more love for innovative treatments like digital therapeutics and virtual platforms.
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The Rhode Island School of Design's Center for Complexity has developed a new tool that helps non-English patients accurately describe their pain for emergency care providers.
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