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

Home Health Care

The Oklahoma City-based home health provider Carter Healthcare will pay $22.9 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 determined to safeguard the integrity of our nation’s health care systems.”.

Tricare 105
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Universal Health Care and Financial Inclusion – Not Mutually Exclusive

Health Populi

While The Economist’s editors may not have intended for these two reports to reinforce each other, my lens on health and healthcare immediately, and appreciatively, connected the dots between healthcare coverage and financial wellness. healthcare. is a special case, an outlier, the report calls out.

Tricare 54
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What is better: public or private provision of health care?

Healthcare ECONOMIST

Medicare Advantage vs. Medicare FFS), but less so whether the providers are public employees or not. Within any given country, there is significant selection bias in terms of who receives public vs. private care. Moreover, most research focuses on public vs. private financing of health care (e.g.,

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Zelis Unveils New In-Network Pricing Solution for Streamlined Claim Processing

HIT Consultant

What You Should Know: Zelis , a leader in healthcare technology solutions, has announced its newest weapon in the fight against opaque claim pricing: In-Network Pricing and Contract Modeling. Extensive Program Support: Handles commercial, Medicaid, Medicare, Tricare, and more.

Tricare 52
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Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

Episode Introduction Jonathan explains why the value of healthcare related cases under the False Claims Act ($1.8 He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. It’s any type of fraud scheme that is impacting the healthcare system.

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

KHN

The pain clinics also overcharged Medicare by billing up to $1,100 for “unnecessary and often worthless” back braces and charging up to $1,800 each for urine drug tests that were “medically unnecessary and often worthless,” according to the suit.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

The pain clinics also overcharged Medicare by billing up to $1,100 for “unnecessary and often worthless” back braces and charging up to $1,800 each for urine drug tests that were “medically unnecessary and often worthless,” according to the suit.

Doctors 52