CarePoint Health's new CEO Dennis Kelly plans to further expand the business beyond its Hudson County, New Jersey roots while focusing on keeping patients healthy and better coordinating care.
As is the case in most parts of the country, hospital prices in Washington state are all over the map, with multiples of three or four between facilities for the same procedure, according to the Washington Health Alliance.
Three additional ACOs left the Pio neer program this month, leaving just over half of the original 32 participants.
Fraud involving Medicare and Medicaid mental health benefits has been "a special enforcement problem that stretches back decades," according to former Department of Health and Human Services Inspector General Richard P. Kusserow.
The Centers for Medicare & Medicaid Services lacks a sound financial management system, according to a new report issued by the Government Accountability Office.
The challenges of operating an ACO that cuts costs without losing money can be so daunting that some ACO operators may launch a M edicare Advantage health plan to replace it, a ccording to Healthcare Finance News.
September is healthcare fraud awareness and prevention month, and that makes this a good time to acknowledge the work of Senior Medicare Patrols. SMPs are a national project run by states to teach...
Michigan oncologist Farid Fata, M.D., awaiting trial for orchestrating a multi-million dollar Medicare fraud scheme, entered a surprise guilty plea yesterday to 13 counts of healthcare fraud, two counts of money laundering and one count of conspiracy to pay and receive kickbacks, the Detroit Free Press reported.
Recent enforcement actions by the U.S. Department of Justice showcase federal efforts to put the kibosh on fraudulent claims filed with government programs for therapeutic services.
A lawsuit has been filed in federal court against the Centers for Medicare & Medicaid Services in an effort to get it to change its policy regarding Medicare reimbursement for the use of PET beta-amyloid scans to detect Alzheimer's disease.