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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.”.

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Humana Details CenterWell Home Health Growth, MA Success

Home Health Care

Coming off an unfavorable final rule for Medicare Advantage (MA) plans, Humana Inc. 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. “We NYSE: HUM) is still riding high.

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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.

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

KHN

Physicians sometimes sell practices to private equity firms because they promise to take over things like billing, regulatory compliance, and scheduling — allowing doctors to focus on practicing medicine. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit.

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

KHN

Physicians sometimes sell practices to private equity firms because they promise to take over things like billing, regulatory compliance, and scheduling — allowing doctors to focus on practicing medicine. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit.

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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.

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Most Americans Want the Federal Government to Ensure Healthcare for All

Health Populi

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid. Most people in the U.S.

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