Latest Headlines

Latest Headlines

Expanded services central to CarePoint Health's plans

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.

Washington hospital prices vary broadly

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.

CMS report suggests a bright yet tough road for ACOs

Three additional ACOs left the Pio neer program this month, leaving just over half of the original 32 participants. 

Mental health scams target Medicare and Medicaid

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. 

GAO report: CMS financial records don't line up

The Centers for Medicare & Medicaid Services lacks a sound financial management system,  according to a new report issued by the Government Accountability Office.

Are ACO operators eyeing Medicare Advantage instead?

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.

A tip of the hat to Senior Medicare Patrols

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...

Cancer doc admits guilt in unnecessary chemo scheme

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.

Feds crack down on therapeutic services fraud

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.

Lawsuit seeks reversal of CMS amyloid reimbursement policy

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.