Medicare/Medicaid
publication date
Finance
Post Acute Medical Pays $13.1M to Settle False Claims Charges
The post-acute care provider admitted no wrongdoing, and claimed that 'many' of the allegations 'commenced long before Post Acute acquired...
Clinical Care
Michigan Hospital to Pay $84.5M to Settle Stark Law, Kickback Claims
Beaumont says it has cooperated with prosecutors to uncover undue compensation to referring physicians allegedly made before the health system...
Nursing
Engaging Leaders in CAUTI Prevention Efforts
Including senior leaders in CAUTI prevention is a critical aspect of the design and implementation of infection prevention programs.
Finance
Single Payer Getting More Attention at State Level, Not Going Away
States are testing the waters with Medicare-for-all type plans while waiting for federal solutions. The cost of single-payer plans could...
Clinical Care
Health Quest to Pay $15.6M in False Claims Settlement
A former corporate compliance officer at the four-hospital health system in Upstate New York blows the whistle on his old...
Innovation
CMS Seeks Input on Potential Stark Law Revisions
The feds are looking for guidance from stakeholders as they consider revisions to the 30-year-old Stark Law, which many believe...
Finance
WellCare to Buy Privately Held Health Plans, PBM for $2.5B
The deal includes Meridian Health Plan of Michigan, Inc., Meridian Health Plan of Illinois, Inc., and MeridianRx, and is expected...
Finance
CBO Expects Benchmark Premiums to Rise 15% Next Year
A federal review estimates that 5 million people have lost health insurance coverage in the past year, and the number...
Strategy
How Can Rural Healthcare Be Stabilized? 4 Answers
A panel of policy experts offered the Senate Finance Committee their wish list of top priorities for rural healthcare in...
Strategy
Regional 'Super-ACOs' May Relieve Small ACO Risk Problem
Minimum patient thresholds and high investment levels can be hurdles for most regional health systems to participate in ACOs, but...
Finance
How States Are Simplifying Physician Health Plan Credentialing
Texas is the latest state to create a simplified physician credentialing system for health plans. The goal is to draw...
Clinical Care
Vermont Legislature OKs Drug Importation from Canada
The Green Mountain State's legislature became the first in the nation to approve bulk importation of cheaper prescription drugs from...