Medicare/Medicaid
publication date
Charges Brought Against 34 Suspects in $258M Multistate Fraud Schemes
Federal prosecutors arrest suspects in three states in various alleged schemes to defraud Medicare, Medicaid, employee health plans, and private...
Convicted Florida Health Care Exec Gets 20 Year Prison Term for $1.3B Fraud Scheme
Philip Esformes of Miami Beach ran the largest healthcare fraud scheme ever charged by DOJ.
Clinical Care
Docs Complain to Congress About Prior Authorization Hurdles
Physicians say prior authorization creates undue time burden and administrative costs.
US Obesity Rates Reach Historic Highs
Report calls for sugary drink taxes, expanded nutrition programs and encourages physical activity to address this health crisis.
Clinical Care
ER Redo: As Rural Hospital Closes, Emergency Care Is On The Blink With Fate Uncertain
The loss of the longtime hospital in Fort Scott, Kan., forces trauma patients to deal with changing services and expectations.
Innovation
Is IPPS Obsolete?
The inpatient prospective payment system provides for a new technology add-on payment, but it is vital for hospitals to understand...
Providers Pan Trump Administration Final Rule on Public Charge
The 837-page expanded public charge rule limits who can get or keep a green card based on their use of...
Finance
Medicare Public Option Threatens Half of Rural Hospitals
A new study shows that lower reimbursements from a Medicare public option would threaten 1,037 rural hospitals in 46 states,...
DOJ Files Anti-Kickback Lawsuit Against Life Spine Inc.
Suit alleges half of the company's sales were for procedures performed by surgeons who got kickbacks.
HHS Chief: Medicare Payment Should be 'Patient-Centered'
New primary care payment models are a good start, says Azar.
HHS OIG Offers 25 Ways to Reduce Healthcare Waste and Fraud
OIG says these recommendations 'would most positively affect HHS programs in terms of cost savings, program effectiveness and efficiency, and...
His Latest False Claims Case is Settled, but this Kansas Doc is Still Fighting the DOJ
A cardiologist with a history of False Claims Act settlements says the federal government is abusing the whistleblower process.