Compliancy Group
FEBRUARY 12, 2024
Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.
Kaiser Health News
APRIL 16, 2024
In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.
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Kaiser Health News
OCTOBER 13, 2022
Among the takeaways from this week’s episode: The “family glitch” arose because under ACA rules, people offered insurance through their workplace generally don’t qualify for subsidies if they instead purchase a policy on the marketplace — unless their work insurance is deemed unaffordable.
CMS.gov
NOVEMBER 2, 2018
Medicare has a plethora of misaligned financial incentives that work to increase costs for taxpayers and beneficiaries, and create challenges related to fraud and abuse. Just look at the decreasing numbers of doctors. Doctors receive less from their Medicare reimbursement than they do from private insurance for the same services.
Hall Render
JULY 1, 2022
North Alabama doctor’s medical license suspended after investigation into overdose death. Balderas Joins $230M Settlement Against Pharmaceutical Company Over Allegations Of Medicaid Fraud. Silicon Valley doctors decry plan to pay bonuses for seeing more patients. Alpharetta doctor sentenced to 3 years in federal prison.
Hall Render
SEPTEMBER 1, 2023
ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M facility near Calvin University Health care industry groups back Whitmer’s call for prescription drug cost review board Michigan Doctor to Pay $6.5 The auditor says it needs improvements. hospital company for $1.2B
Hall Render
OCTOBER 27, 2023
Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M
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