Reimbursement
Pharma giant allegedly billed government payers for medications that were never shipped, or were returned, and paid kickbacks to beneficiaries, the DOJ said.
Clinicians need technical assistance and greater program integrity to keep QPP from risk of fraud and improper payments, according to the Office of the Inspector General.
The platform uses blockchain and secure computation to allow payers, providers and life science companies to engage in patient-centric value-based contracts.
Going into the final days of open enrollment, more than 4 million people have selected plans, but CMS says many will fail to keep their coverage.
USC researchers say tool could be used to create an objective method for evaluating surgeon proficiency with implications for patient satisfaction and reimbursement.
Eligible clinicians can report quality information for only one patient using just one measure but they have to do it in 2017.
New research finds that the more effective cervical cancer treatment is losing ground to an increasingly popular alternative that generates four times the revenue from Medicare payments.
The department shared details about the initiative but redacted names of key participants.
Even though high-deductible insurance options could save patients thousands of dollars every year, most people are not shopping around for better prices when it comes to low value services.
Patients, clinicians and even visitors all find alarms, alerts, beeps and loudspeaker pages make hospitals stays more exasperating.