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What If Costco Designed the Prescription Drugs Sales Model?

Health Populi

Its longer more formal name was The Drug Price Competition and Patent Term Restoration Act of 1984, and it created a pathway for generic drug applications to the FDA. “A growing body of research shows that the federal government and Medicare beneficiaries are also overpaying for generic prescription medications,” t hey explained.

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Monitor Improper Payments for Part C and Part D with Medicare Audit and Monitoring Software

Innovaare Compliance

6] Improper payments can be overpayments and underpayments. Overpayments put an MAO at risk in a bid and a one-third financial audit while underpayments consume valuable staff time in resolving provider disputes and can also be a jeopardy in a one-third financial audit.

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Preventing Genetic Testing Fraud: 5 Actions for Health Plans

Healthcare IT Today

The surge in genetic testing claims comes with a rise in fraud, waste and abuse across government and commercial payers. However, due to its nonspecific nature, this code can be abused by bad actors to request payment for services not covered, not performed or not FDA-approved. Common schemes include: Code stacking.

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Health Provider News

Hall Render

biotech pins hopes on 3 drug approvals as battles with FDA continue Luxury senior living facility coming to D.C. CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C.

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Health Provider News

Hall Render

Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass.

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Health Provider News

Hall Render

New California rule aims to limit health care cost increases to 3% annually UC San Diego Health operations deal with California hospital slows to crawl Kaiser reports data breach affecting 13.4M MASSACHUSETTS High demand is pushing hospitals past their limits, say Southeastern Mass.

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Health Provider News

Hall Render

Nevada Medicaid must cover abortion services, judge rules Clark County health rankings improve, but physicians per capita still well below U.S.