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The History of Healthcare Compliance

MedTrainer

Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Affordable Care Act (2010): The ACA introduced the concept of value-based care, emphasizing quality and patient outcomes over quantity of services.

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

Healthcare Law Today

For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. ” United States ex rel. Healthfirst, Inc. , 3d 370, 389 (S.D.

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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

Kaiser Health News

A spokesperson for the Centers for Medicare & Medicaid Services said in an email that the agency is not seeing a pervasive problem, but he declined to provide data on how often such cases occur or how the agents or brokers get the personal information needed to enroll unsuspecting people.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations.

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Wellth Announces $20M Series B for Continued Growth of Behavioral Science-Based Platform

Healthcare IT Today

Uncle Roy spent years on dialysis and passed away after having a stroke in 2015. Medicare Advantage, Medicaid, ACA/Exchange) that share in our mission. He knew he should do all of these things—he even wanted and intended to—but he seemingly never could follow through.

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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Equality Health Announces New Investment from Governor Jeb Bush-Led Firm

HIT Consultant

Founded in 2015, Equality Health is a population health risk management company that improves care delivery for underserved populations. Reimagining the New Frontier of Value-Based Care.

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