article thumbnail

A Home Health Provider Agrees To Pay $22.9 Million In False Claims Act Case

Home Health Care

million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. We are committed to pursuing entities and individuals that offer kickbacks and the doctors that solicit or accept them.”.

Tricare 105
article thumbnail

To Stay On Right Side Of Referral Relationships, Here’s What Home-Based Care Providers Should Know

Home Health Care

If a provider receives funding under the Medicare, Medicaid, TRICARE, Veterans Health Administration or Indian Health Services, they are subject to the federal Anti-Kickback Statute, the Stark Law and the Civil Monetary Penalties Statutes. They’re incredibly well staffed. They’re well-resourced and sophisticated teams.”.

Tricare 105
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Humana Details CenterWell Home Health Growth, MA Success

Home Health Care

During the call, Humana CEO Bruce Broussard applauded the Centers for Medicare & Medicaid Services (CMS) for adopting a three year phase-in in the risk model changes for the 2024 MA rate notice. “It It serves to mitigate the impact of unintended consequences to beneficiaries resulting from these changes,” he said.

Tricare 96
article thumbnail

Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. Not one of those people who comes from a family of doctors or anything like that either. All this really affects clinicians.

article thumbnail

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 145
article thumbnail

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 52
article thumbnail

Most Americans Want the Federal Government to Ensure Healthcare for All

Health Populi

Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid. I’ll add into that the Veterans Administration system, and TRICARE (once known as “CHAMPUS,” health assurance for military service members and their families).

Tricare 71