Search
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.
Humana says it supports limiting payment for diagnoses made by nurse practitioners during home visits.
The U.S. is experiencing a maternal health crisis, and has worse outcomes than in any other high-income country, according to OIG.
Enrollees in high-need areas often lack access to providers who can prescribe or dispense these medications, OIG finds.
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase.
The funding will support establishing and expanding comprehensive substance use disorder treatment and recovery services in rural areas.
The MA insurer sampled received at least $3.7 million of net overpayments for 2017 and 2018, the OIG found.
Of the roughly 1.1 million enrollees who have opioid use disorder, just 18% receive medication to treat it, OIG said.
HHS released information blocking proposed rule with monetary disincentives to increase electronic health information sharing.
