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Fraud Health Care Access Medicaid 
HIPAA Journal
FEBRUARY 23, 2022
HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?
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Health Care Law Brief
APRIL 12, 2023
On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Parts 417, 422, 423, 455, and 460.
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YouCompli
AUGUST 9, 2023
For example, there should be a policy and process to enroll patients in insurance plans, such as Medicaid or Affordable Care Act (ACA) health plans.
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Hall Render
DECEMBER 20, 2024
’ What nurses say must improve at Framingham hospital Southcoast Health named a Recognized Center for Healthcare-AI Tufts Medicine names SVP of revenue cycle Tufts Medicine reports $68.2M operating loss, -10.2%
Hall Render
MAY 17, 2024
NATIONAL A deep dive into health system and health plan Q1 earnings Amazon building ‘modern pharmacy’ of the future: Medical Officer Breaking down the FTC noncompete ban, its impact on healthcare CISA, HHS warn healthcare of Black Basta ransomware attacks CMS extends Medicaid waivers to 2025 Could providers be liable in Change outage?
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Hall Render
APRIL 12, 2024
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s
Hall Render
JUNE 7, 2024
million bird flu shots to U.S. million bird flu shots to U.S.
Hall Render
DECEMBER 13, 2024
Care Taps Health Net Exec as New CEO COLORADO Aurora’s Fitzsimons plans development opportunities on 60 acres Boulder drug discovery co. for maternity care Healthcare Shifts Driving Demand For Outpatient Facilities In Denver Insider Breach, Email Attacks Net $1.7M operating margin in Q3 JLL Arranges $13.4M 3 in the U.S.
Hall Render
JULY 28, 2023
million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.
Hall Render
FEBRUARY 2, 2024
who has troubled track record Nursing home accused of disability discrimination will pay employee $50K, feds say Saint Peter’s Healthcare, Atlantic Health move toward merger New Jersey Makes Hospital at Home a State Program N.J. continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow!
Hall Render
MARCH 8, 2024
DC Health moves to Anacostia with high hopes for community impact VIP health system for top US officials risked jeopardizing care for rank-and-file soldiers Health workers partner with churches to target kidney disease among DC’s Black residents DELAWARE ChristianaCare taps population health exec from Virtua ChristianaCare’s medical director takes (..)
Hall Render
MAY 10, 2024
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.
Hall Render
OCTOBER 6, 2023
New report brings grim statistic to Mississippi maternal health UMMC program provides mental health care for moms Faith, medical leaders to discuss expanding health care access at Gov. Months later, apparently only a third qualify.
Hall Render
OCTOBER 6, 2023
New report brings grim statistic to Mississippi maternal health UMMC program provides mental health care for moms Faith, medical leaders to discuss expanding health care access at Gov. Months later, apparently only a third qualify.
Hall Render
FEBRUARY 9, 2024
Mississippi’s oral health among worst in US House Democrats unveil Mississippi’s first major Medicaid expansion plan Lawsuits filed against Singing River Health System in 2023 cyberattack Merit Health Natchez CEO: Additional Medicaid payments will ‘go a long way’ MISSOURI FDA denies approval for St.
Hall Render
JANUARY 17, 2025
healthcare fraud scheme New Orleans launches tool to help doctors find reproductive care drug amid tight state restrictions MAINE Owner of Woonsocket hospital expands into Maine St.
Hall Render
AUGUST 11, 2023
Elizabeth ranks second UofL Health – Heart Hospital recognized by Becker’s Hospital Review Waystar buys fellow health tech firm HealthPay24 West Louisville nonprofit calls on Rep. Morgan McGarvey to improve health care access COVID hospitalizations jump again: Where do West Virginia, Ohio and Kentucky stand?
Hall Render
MARCH 1, 2024
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. Reeves doesn’t mention Medicaid expansion or health care crisis in State of the State address U.S.
Hall Render
APRIL 7, 2023
Judge denies challenge to measure that would cap LA hospital exec pay COLORADO Builders show little interest in city, hospital employee housing project Capitol Pain Institute acquires 3 Colorado practices, ASC Colorado lawmakers seek financial information from hospitals in larger debate over health care costs Colorado to advance $1.4
Hall Render
MAY 24, 2024
health director Care New England reports $1.9M round funds Tennessee Oncology’s cancer care partnership HCA Healthcare readies for AI rollout in EDs Lipscomb University adds accelerated nursing program to meet Nashville’s workforce demand Tennessee’s certificate of need program has officially changed thanks to Gov.
Hall Render
APRIL 14, 2023
But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5
Hall Render
MAY 31, 2024
margin in Q1 AI + navigation = faster cancer care at Northwell Mount Sinai’s Beth Israel submits revised closure plan Dollars can boost health equity, but broad change is just as important Montefiore records $27.9M area philanthropist opens women’s wellness center in Bethesda D.C. operating income, 4.1% operating income, 4.1%
Hall Render
JUNE 30, 2023
for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M
Hall Render
DECEMBER 15, 2023
s Vanda Pharmaceuticals pays $100M for commercial rights to Johnson & Johnson company’s drug Hundreds of DC’s Medicaid nursing home patients sent to Maryland Medical facility in DC’s Ward 8 gets $22.5M
Hall Render
DECEMBER 8, 2023
health care Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. Luke’s partners with TytoCare for virtual primary care at home ‘We are heartbroken.’ NATIONAL 8.5M NATIONAL 8.5M
Hall Render
JULY 1, 2022
Arizona Medicaid Director Points to Success of Supportive Housing. Balderas Joins $230M Settlement Against Pharmaceutical Company Over Allegations Of Medicaid Fraud. Dr. Anthony Torres named CEO of Dignity Health hospital. Mobile medical clinic expands health care access on Moloka?i. billion fraud.
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Hall Render
MARCH 9, 2023
Billion in Unpaid Care to Loved Ones Proposed bill aims to address ‘truth in advertising’ by Connecticut health care providers Shuttered nursing home in Wallingford sells for $1.6M
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Hall Render
JUNE 16, 2023
24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? Rules Luna and MedStar Health partner to improve access to in-home, in-person outpatient physical therapy across Washington, D.C., before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M
Hall Render
MAY 5, 2023
How hospital-at-home programs grew from 1 to more than 250 Nurses Flock Back to Hospitals After Leaving in the Pandemic Patient Experience Tanks as Patient Safety, Hospital Infections Grow Report: Inflation continues to burden hospitals as margins remain near zero Rural Hospital Support Act aims to offer additional financial assistance for rural hospitals (..)
Hall Render
MARCH 25, 2022
Alabama lawmaker’s push to extend postpartum Medicaid coverage. $12 12 million dollar drug lab, mental health center coming to Dothan. Florida Medicaid hits Sunshine Health with $9M sanction for not paying providers’ claims. Baptist Health South Florida’s new startup to focus movement abnormalities.
40 Hall Render
APRIL 1, 2022
Alameddin Named All of Us Arizona Health Champion for Her Work to Improve Health Care Accessibility, Equity. Arkansas health care group asks to intervene, says overturning lawsuit could lead to higher drug prices for patients. Fraud plagues California’s hospice industry, audit finds.
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Hall Render
APRIL 25, 2025
lawmakers are considering legislation to require licenses for non-medical home care Mass. health benefits agency running out of cash Mounting costs: As rising health costs hit Hispanic communities hardest, Central Mass. area DELAWARE Delaware inpatient rehab facility acquired for $23.5M Sila Realty Trust: $23.5
Hall Render
JANUARY 19, 2024
Francis emergency room KENTUCKY Apollo’s 220-hospital ‘stranglehold’ harms patients and workers, report alleges Humana cuts ‘small’ number of jobs in multiple locations LMU School of Nursing will open Lexington site at CHI Saint Joseph Health Mercy Health announces acquisition of orthopedic center in Paducah, Ky.
Hall Render
APRIL 25, 2025
lawmakers are considering legislation to require licenses for non-medical home care Mass. health benefits agency running out of cash Mounting costs: As rising health costs hit Hispanic communities hardest, Central Mass. area DELAWARE Delaware inpatient rehab facility acquired for $23.5M Sila Realty Trust: $23.5
Hall Render
MARCH 17, 2023
‘Not what we were looking for,’ CEO says Data shows mental health, education declines for Hoosier kids Joint venture to build specialty hospital in Fort Wayne Bills would cut hospital services in Indiana not just reduce costs Ascension St. in Indiana aging-in-place work. nursing home Massachusetts hospitals spent $1.5B
Hall Render
OCTOBER 14, 2022
California medical group to pilot Google’s clinical software for outpatient care. Providers raise concerns over California’s value-based Medicaid reforms. Aspen Valley Hospital rolls out system of electronic health records. facility for homeless people seeking medical care. ’s Medicaid saga.
Hall Render
SEPTEMBER 13, 2024
More than 40% of Georgia’s counties lack maternity care places, such as hospitals and birth centers HAWAII Hawaii nurses file unfair labor charge after hospital plans lockout Hawaii nurses plan 2nd strike; hospital floats lockout No new nurses deal for upcoming Kapiolani strike Pacific Islanders Are Often Left Out Of Medical Studies.
Hall Render
JUNE 23, 2023
Greenwich Hospital Ribbon Cutting Celebrates Opening of New Pediatric Ambulatory Surgery Center Hartford HealthCare names Joanne Berger-Sweeney new board chair What changes did CT make to its Medicaid program in 2023? Million to Resolve False Claims Act Allegations S. Here’s what we know. Some patients die waiting.
Hall Render
MAY 2, 2025
Polis signs public funding law Diversus Health launches new location in Security-Widefield ‘Failure to launch:’ Polis’ plan to improve mental health faltering Gov.
Hall Render
OCTOBER 18, 2024
1 A UConn team wants to move groundbreaking health research to humans. James Wilson can continue, judge rules TeleTracking Technologies names Anita Dressel as president RHODE ISLAND After Blue Cross, Tufts appeal $15B Medicaid contract, state agrees to reevaluate CVS exec lands Revlon CEO role Lifespan renamed Brown University Health R.I.
Hall Render
APRIL 28, 2023
on EHR upgrade New SSM Health children’s developmental center opening today Illinois Capitol bills would give more money to community health centers Illinois physician selected for year-long NASA Mars simulation HSHS St.
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Hall Render
JANUARY 21, 2022
AZ health official: Number of COVID cases likely higher than reported. Arkansas health officials ask state for $400M to cover increased Medicaid costs. Children’s Hospital Colorado creates ‘mental health-in-chief’ position to confront growing need for care. Solicitor General to Weigh In Hospice Fraud Case.
40 Hall Render
MARCH 21, 2025
Ends Idaho Abortion Law Row After Mutual Dismissal 700+ rural hospitals at risk of closing 5 hospice, palliative care providers name new executives As AI nurses reshape hospital care, human nurses are pushing back Cigna, Health Care Service Corp. operating income, 2.3% operating income, 2.3%
Hall Render
APRIL 11, 2025
in Medicaid double payments Mehmet Oz confirmed to lead CMS, promises focus on health and rural care Nonprofit hospitals see margin improvement despite challenges Resident physicians largely in favor of unionization, citing low pay, long hours RFK Jr. ’s Cedar Hill Regional Medical Center readies for its debut D.C.s
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