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Report: CMMI has raised federal spending, not lowered it

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI), once expected to save money and deliver healthcare at a lower cost, is increasing federal spending after all. CMMI was designed to reduce federal healthcare spending, but a new CBO reports shows its had the opposite effect.

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Biden’s latest drug price-control plans threaten war on cancer, Alzheimer’s and more

Health Care Dive

Former Clinton health policy advisor Kenneth Thorpe argues that federal healthcare price-control policies could wreak havoc in the industry.

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TRG Settles for $3.1M Over Alleged Improper Billing Practices

HIT Consultant

The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds. Proper interpretation of radiology scans is crucial for accurate diagnosis and treatment of patients.

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OIG Exclusion Lists: An Ultimate Guide

Etactics

The List of Excluded Individuals/Entities is the database that contains the organizations and individuals banned from participating in federal healthcare programs. For one, you are likely to find your claims coming back as rejected by the federal healthcare program. In fact, there is an entire list dedicated to the issue.

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New Marketing Possibilities for Vendors Contracted with Medicare Providers and Suppliers Following OIG’s Favorable Advisory Opinion on Limited Referral Bonuses

Sheppard Health Law

Among other things, the Requestor: (i) did not itself provide any services that were eligible for reimbursement under any Federal healthcare program to any of its clients, (ii) did not have an ownership or investment interest in any entity that provided items or services paid for by any Federal healthcare program, and (iii) received compensation from (..)

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Significant Changes to Stark Law and Anti-Kickback Statute Finalized

Health Care Law Blog

According to HHS, the Final Rule was intended to provide greater flexibility for healthcare providers to participate in value-based arrangements, ease unnecessary compliance burdens, and maintain safeguards to protect patients and Federal healthcare programs from fraud and abuse.

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HHS Issues Proposed Rule to Provide Clarity on Rights of Conscience in Healthcare

Sheppard Health Law

HHS proposes to expand the category of “federal healthcare provider conscience protection statutes” covered by the Proposed Rule and maintains the Office for Civil Rights (“OCR”) as the centralized HHS office for receiving and investigating complaints under these provisions. The proposed regulation 45 C.F.R.