Health Populi
JUNE 5, 2022
Consumers Overpay for Generic Drugs , a new paper from the Leonard Schaeffer Center for Health Policy & Economics asserts, with recommendations to address the intermediaries who benefit from the way Americans currently pay for medicines. The good news about prescription drugs, in the context of medical spending in the U.S.,
The Health Law Firm Blog
MAY 6, 2024
Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District [.] By George F. Indest III, J.D.,
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The Health Law Firm Blog
FEBRUARY 10, 2023
Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District [.] By George F. Indest III, J.D.,
Innovaare Compliance
MARCH 24, 2024
Balancing AI-Driven Payment Integrity with Provider Relations A large health insurance company implemented an AI-powered payment integrity system to identify and prevent potential fraud, waste, and abuse in healthcare claims. The Challenge of Health Care Fraud. 2021, January 15). 2021, April).
Healthcare IT Today
FEBRUARY 17, 2023
Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). How can such overpayments be uncovered? public in overpayments. But the needles pile up fast.
HIT Consultant
JANUARY 16, 2023
While health systems will continue to capture the majority of condition-specific and specialty care; ownership of primary care, insurance services, and ancillary care (lab/imaging/pharmacy) are at the center of a contentious battle. Ankit Gupta, CEO/Founder of Bicycle Health.
HIPAA Journal
MARCH 30, 2022
For example: Had the health insurance industry been allowed to continue operating as it did prior to HIPAA, tens of millions of Americans would be excluded from health plan benefits. Had the momentum to improve health care not been given a kickstart by HIPAA, subsequent health care initiatives may never have happened.
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