The Washington Post: Doctors and nurses among nearly 100 charged in $223 million Medicare fraud busts in 8 cities
By Associated Press, Published: May 14 WASHINGTON — Nearly 100 people, including 14 doctors and nurses, were charged for their roles in separate Medicare scams that collectively billed the taxpayer-funded program for roughly $223 million in bogus charges in a massive bust spanning eight cities, federal authorities said Tuesday. It was the latest in a string of similar … Read more
The Washington Post: Doctors and nurses among nearly 100 charged in $223 million Medicare fraud busts in 8 cities
By Associated Press, Published: May 14 WASHINGTON — Nearly 100 people, including 14 doctors and nurses, were charged for their roles in separate Medicare scams that collectively billed the taxpayer-funded program for roughly $223 million in bogus charges in a massive bust spanning eight cities, federal authorities said Tuesday. It was the latest in a string of similar … Read more
California Healthline: CMS Outlines Cuts to Hospitals That Treat Low-Income Patients
On Monday, CMS issued a proposed rule detailing a payment reduction mandated under the Affordable Care Act to hospitals that treat a disproportionate share of low-income patients, Modern Healthcare reports. The Medicaid disproportionate-share hospital payment reductions were developed as an offset for the cost of the ACA’s Medicaid expansion and are based on the assumption that the ACA’s coverage … Read more
California Healthline: CMS Outlines Cuts to Hospitals That Treat Low-Income Patients
On Monday, CMS issued a proposed rule detailing a payment reduction mandated under the Affordable Care Act to hospitals that treat a disproportionate share of low-income patients, Modern Healthcare reports. The Medicaid disproportionate-share hospital payment reductions were developed as an offset for the cost of the ACA’s Medicaid expansion and are based on the assumption that the ACA’s coverage … Read more
California Healthline: ‘So Many Moving Parts’ To Fit Together
by David Gorn The Department of Health Care Services announced this week that the Cal MediConnect duals demonstration project will not start until at least January, 2014, a delay from its previous expected launch date in October, 2013. Advocates for seniors’ health care yesterday praised the decision, saying the extra three months will go a … Read more
The Hill: Unified Medicare benefit would save billions, study says
By Elise Viebeck - 05/06/13 05:00 PM ET Combining Medicare coverage under a unified benefit could save $180 billion over 10 years while lowering out-of-pocket costs for beneficiaries, according to a new study. Researchers with the Commonwealth Fund, a non-profit research foundation, proposed a simplified Medicare program in which beneficiaries receive hospital, physician, drug and supplemental … Read more
Clinical Innovation + Technology: CMS/HHS collaboration with Archimedes to enable ‘unprecedented’ data access
Laura Pedulli May 02, 2013 The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) will collaborate with Archimedes—a Calif.-based Kaiser Permanente innovation healthcare modeling and analytics company—to supply “unprecedented” access to synthetic CMS claims data, according to Archimedes’ May 1 announcement. Under the collaboration, Archimedes’ ARCHeS Simulation … Read more
KHN: Advocates Head To Court To Overturn Medicare Rules For Observation Care
By Susan Jaffe MAY 03, 2013 This KHN story was produced in collaboration with After Lois Frarie, a 93-year-old retired teacher from Monterey, Calif., spent four days at a local hospital while being treated for a broken elbow and pelvis, she went to a nearby nursing home to build up her strength. But her family was stunned … Read more
MedPage: Medicare Offers Pay Boost to Hospitals
By David Pittman, Washington Correspondent, MedPage Today Published: April 26, 2013 WASHINGTON — The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule late Friday that would increase payments to the nation’s 3,400 acute care hospitals by nearly $27 million in fiscal 2014. Under its proposed Inpatient Prospective Payment System (IPPS) rule, payments … Read more
California Healthline: CMS Proposes Higher Rewards for Medicare Fraud Whistleblowers
On Wednesday, CMS proposed increasing the maximum reward for reporting Medicare fraud to $9.9 million, in an attempt to encourage more whistleblowers to come forward, Modern Healthcare reports (Carlson [1], Modern Healthcare, 4/24). The proposed rule would increase the reward given to whistleblowers from 10% to 15% of the first $66 million of the final amount collected (Wilson, “RegWatch,” The Hill, … Read more
