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Will CMS’s Proposed Rule on “Identified Overpayments” Increase Reverse FCA Cases?

Healthcare Law Today

” The currently proposed provision has similar effect to the language CMS proposed in 2012 and, after consideration of comments, ultimately rejected in the 2014 Final Rule (Medicare Advantage and Part D) and 2016 Final Rule (Medicare Part A and Part B). The term “knowingly” has the meaning set forth in 31 U.S.C.

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A Tale of Two America’s for Health

Health Populi

The top row illustrates that the ACA covered a lot of people with health insurances between 2012 and 2016. The lower row shows that the level of self-rationing due to costs fell across the entire northern section of America, leaving at least 15% of people living in the deeper south to continue to ration in 2016 as they did in 2012.

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Healthcare Consolidation: Opportunities for Digital Health Technology

The Digital Health Corner

I would add that the enactment (and some would say the design) of the ACA itself spurred payer consolidation. Payers are consolidating as well because of pressures to scale for clients across large geographical regions and to support costs of technology.

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Americans’ Trust in the Healthcare System Low Compared to Rest-of-World’s Health Citizens

Health Populi

The green line chart draws the high of 75% ranking pharmacists honest and ethical in 2012 to the 2017 decline down to 62% — still relatively high versus members of Congress and car salespeople at the bottom of the list, but below nurses (#1) and doctors.

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Más de 100 millones de estadounidenses viven acosados por las deudas médicas

Kaiser Health News

La deuda de los pacientes se acumula a pesar de la histórica Ley de Cuidado de Salud a Bajo Precio (ACA) de 2010. ACA amplió la cobertura de seguro a decenas de millones de estadounidenses. Esto hace que la enfermedad sea un factor de predicción de deuda médica más poderoso que la pobreza o el seguro.

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Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

The study reviewed reports and articles published between January 1, 2012 and May 15, 2019, dressing the topic of waste across six domains previously identified by the Institute of Medicine: Failure of care delivery, with waste ranging between $102 bn and $166 bn. Political debates in this 2020 U.S.

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In the Past Ten Years, Workers’ Health Insurance Premiums Have Grown Much Faster Than Wages

Health Populi

For context, since 2012, the annual cost increase for family premiums ranged between 3% and 5%, so the 2020 rate of 4% fell within a fairly normal range of 3-5% seen over the past eight years. Workers’ earnings grew by 3.4 in 2020, as family premiums increased by 4.0% and inflation, 2.1%.