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29 Aug 2016, 5:38 pm by Ben Vernia
In a story posted on NPR’s website on August 29, the Center for Public Integrity reported that of 37 Medicare Part C (“Advantage”) insurance plans that the  Government Accountability Office had audited, 35 had overcharged the government in the audit sample: Among the insurers charging the government too much: five Humana Inc. health plans, three UnitedHealth Care Group plans and four Wellpoint Inc. plans. [read post]
30 Dec 2010, 2:00 am by Ben Vernia
Detroit Medical Center is in the process of selling its facilities to Vanguard Health Systems Inc., a company headquartered in Nashville, Tenn., that owns and operates healthcare facilities in five states. [read post]
25 Jan 2012, 8:33 am by Coane & Associates
District Court in Miami last month, a 93 year old woman sued Miami Behavioral Health Center, Inc. for age discrimination. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS or the… [read post]
10 Dec 2019, 4:02 pm by Cynthia Marcotte Stamer
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
23 Jul 2010, 2:59 am
A new report from Exponent Inc.'s Center for Chemical Regulation and Food Safety is adding new fuel to the debate over catfish import safety. [read post]
6 Sep 2023, 9:36 am by Geoff Schweller
The case centers around oxygen equipment which leased to patients with respiratory ailments such as Chronic Obstructive Pulmonary Disease (COPD). [read post]
15 Sep 2022, 8:03 am by Cynthia Marcotte Stamer
CMS Measuring and reporting eCQMs helps to ensure that our health care system is delivering effective, safe, efficient, patient-centered, equitable, and timely care. [read post]
16 Jun 2022, 10:13 am by Carabin Shaw
The CEO of Caregiver Inc., Mark Lashley, stated that they would be working with their employees at the River Gardens Center to immediately address necessary repairs and restore a safe environment. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of the Patient Protection &… [read post]
18 Aug 2022, 6:11 pm by Ben Vernia
According to DOJ’s press release: Ventura County Medi-Cal Managed Care Commission doing business as Gold Coast Health Plan (Gold Coast), a county organized health system (COHS) that contracts to arrange for the provision of health care services under California’s Medicaid program (Medi-Cal) in Ventura County, California; Ventura County, which owns and operates Ventura County Medical Center, an integrated health care system that… [read post]
17 Aug 2011, 2:13 pm by Thomas Gallivan
Northern Riverview Health Care Center, Inc. in Rockland County, NY was fined $24,000 as a result of a Department of Health Certification Survey dated April 8, 2010. [read post]
27 Mar 2012, 5:43 am by Joe Palazzolo
WSJ Health care, Day 2: • Small-business owners will be in the center of the Supreme Court debate Tuesday about whether the requirement that most Americans carry health insurance or pay a penalty violates the Constitution. [read post]
16 May 2014, 8:39 am
In December of 2013, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Quotes for new Recovery Auditor (RAC) contracts. [read post]