Health Blawg

JANUARY 16, 2019

As in the case of the RFI regarding Stark and AKS, this is prompted in large part by the move from volume to value, and the widespread belief that value-based payment systems will right the listing ship of the U.S. healthcare “system.” ” (Let’s just say here that the jury is still out.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

As in the case of the RFI regarding Stark and AKS, this is prompted in large part by the move from volume to value, and the widespread belief that value-based payment systems will right the listing ship of the U.S. healthcare “system.” ” (Let’s just say here that the jury is still out.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

C&M Health Law

AUGUST 3, 2023

OIG confirmed that information blocking may also constitute an element of a fraud scheme, such as by forcing unnecessary tests or conditioning information exchange on referrals. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023.

Fraud 52

Fraud HIPAA Governance Compliance 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

HIT Consultant

NOVEMBER 2, 2021

If states were happy with their Program Integrity (PI) systems, but not satisfied with the payment systems, states had no choice but to stay with the vendor. In each case and so many others, fraud activities can be missed unless data analytics looks across providers and analyzes similar data sets, not just by specialty.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% to settle Medicare fraud claims Maine in top 10 for health care, No. 1 for access in WalletHub ranking VA Maine Healthcare System receives 4 stars CMS quality ratings Maine’s tally of ‘high-performing’ hospitals falls sharply in latest U.S.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

JANUARY 26, 2024

NATIONAL 55% of rural hospitals don’t offer obstetric care: Report Academic health systems are scooping up hospitals AHA says Medicare payments to long-term care hospitals are inadequate AHA Warns Hospitals of IT Help Desk Social Engineering Scheme Amazon Pharmacy connects with One Medical Biden administration reinforces reproductive health obligations (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

CMS.gov

DECEMBER 21, 2018

To this end, we are developing and testing new payment models to transform our payment system, and today’s changes to Medicare’s ACO program are a critical component of that transformation. ACOs are groups of healthcare providers that take responsibility for the total cost and quality of care for their patients.

Medicare 41

Medicare Medicare Payment Systems Fraud 41

Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C. health care fraud scheme SA cancer research company entering Dallas market as it eyes more U.S.,

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

MARCH 15, 2024

HSHS moves up 2nd hospital closure How Dr. Trinity: How the 3 largest nonprofit systems’ finances compare BAMF, Corewell Health partner on clinical trial for advanced cancer treatment Doctor files whistleblower lawsuit against DMC after patient becomes quadriplegic Lakeshore outpatient surgery center completes $9.3M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40