Medicare & Medicaid
Rule affects 3,330 acute care hospitals, 430 long-term care hospitals.
The more than 1,500 healthcare providers taking part in the Bundled Payments for Care Improvement initiative may extend their participation in Models 2, 3 and 4 through September 30, 2018, according to the Centers for Medicare and Medicaid Services.
A Chicago couple used their healthcare business to bilk Medicare out of $45 million while also conspiring to force a housekeeper to work against her will, according to an indictment returned this week in federal court in Chicago.
A former healthcare clinic consultant and Medicare biller has been sentenced to a little more than 11 years in prison, and ordered to pay a $100,000 fine, for her role in a $63 million healthcare fraud scheme involving a now-defunct Miami health provider, the Department of Justice announced earlier this week.
Accountable care organizations that participated in the first full year of Medicare Shared Savings saw early reductions in spending that eroded a year later, according to a new study published in the New England Journal of Medicine.
Laboratory's receipt of Medicare payments also in question.
Physician and pain clinic owner Paramjit Singh Ajrawat, 60, of Potomac, Maryland, has been ordered to repay $3.1 million from a healthcare fraud scheme in which he filed fake insurance claims, according to the U.S. District Attorney's Office in Maryland.
The Affordable Care Act requires states to conduct third-party reviews of Medicaid eligibility before renewing coverage, but a new report by Georgetown University Health Policy Institute has found that legacy technology and a lack of communication can make that difficult.
Executives at University of Rochester Medical Center are so pleased with how the federal government's bundled payment joint replacement program is working that they want to expand it beyond Medicare, James Garnham, who heads bundled payments for the system, said Monday at a hearing on Capitol Hill.
By teaming with community organizations, doctors and hospitals can deliver high-quality care at good value to disadvantaged people at risk for poor health, according to a new report from a panel of experts.