States are encouraged to adopt integrated care models for serving dual eligibles, with options that include capitated payments, managed fee-for-service, and state-specific models.
CMS anticipates its new primary care payment models could better align and reduce cost of care for nearly 11 million Medicare fee-for-service beneficiaries.
Lehi, Utah, referred to as 'Silicon Slopes,' was chosen because it is centrally located amid Utah's universities and has become a hub for the state's start-up and tech community.
For surgeons, apology laws made no difference in either the number of claims or the share of those claims that ended up in court. For non-surgeons, apology laws made things worse.
Federal prosecutors allege that the Sacramento-based health system and its affiliates submitted unsupported diagnosis codes for patient encounters with Medicare Advantage beneficiaries.
Evidence showed that dentist Edward R. Hills and three colleagues from 2008 through 2016 took part in elaborate bribery conspiracies, witness tampering and other crimes.
