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7 Sep 2023, 2:00 am
SCAMMED MEDICARE OUT OF $463 MILLIONAccording to a press release issued by the United States Department of Justice, a Georgia man (44), who owned a Medicare enrolled lab, was sentenced on August 18, 2023, to 27 years in prison for submitting some $463 million in phony genetic and other lab test invoicing.The man conspired with others (like “patient brokers, telemedicine companies, and call centers”) to solicit patients and purportedly advised the latter that… [read post]
7 Sep 2023, 2:00 am
SCAMMED MEDICARE OUT OF $463 MILLIONAccording to a press release issued by the United States Department of Justice, a Georgia man (44), who owned a Medicare enrolled lab, was sentenced on August 18, 2023, to 27 years in prison for submitting some $463 million in phony genetic and other lab-test invoicing.The man conspired with others (like “patient brokers, telemedicine companies, and call centers”) to solicit patients and purportedly advised them that… [read post]
6 Sep 2023, 9:36 am
The case centers around oxygen equipment which leased to patients with respiratory ailments such as Chronic Obstructive Pulmonary Disease (COPD). [read post]
5 Sep 2023, 12:46 pm
Here is some additional details about what’s coming; *The Centers for Medicare and Medicaid Services (CMS) has proposed a rule to set a federal floor for staffing levels, so that nursing home owners cannot slash staffing to unsafe levels. [read post]
5 Sep 2023, 4:47 am
Advocate Christ Medical Center v. [read post]
4 Sep 2023, 7:27 am
HHS is announcing important new steps to crack down on nursing homes that endanger resident safety: The Centers for Medicare & Medicaid Services (CMS) is proposing a rule to set a federal floor for staffing levels, so that nursing home owners could not slash staffing to unsafe levels. [read post]
1 Sep 2023, 4:10 pm
On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA). [read post]
1 Sep 2023, 1:40 pm
In a proposed rule sent to the federal register public inspection list on Sept. 1, the Centers for Medicare and Medicaid Services (CMS) announced a long-awaited minimum staffing requirement for Long Term Care (LTC) facilities that participate in the Medicare and Medicaid programs. [read post]
1 Sep 2023, 10:33 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the Making Care Primary (MCP) Model, a new voluntary primary care model that will be tested in eight states. [read post]
1 Sep 2023, 10:23 am
A senior official at the Centers for Medicare and Medicaid Services said many states have been conducting automatic or “ex parte” renewals based on state databases to determine whether residents are still eligible for Medicaid coverage, sending out renewal forms and disenrolling anyone who doesn’t return them. ( NEW YORK TIMES ) Biden Administration Announces First Drugs for Medicare Price Negotiation The Centers for Medicare and… [read post]
1 Sep 2023, 9:00 am
On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA). [read post]
31 Aug 2023, 9:05 pm
In a recent study issued by the Center for Progressive Reform, Federico Holm, Clean Energy Policy Analyst at the Center, and James Goodwin, Senior Policy Analyst at the Center, concluded that the notice-and-comment rulemaking process does not allow individuals in marginalized communities to participate meaningfully in the regulatory system. [read post]
31 Aug 2023, 8:25 pm
In a recent study issued by the Center for Progressive Reform, Federico Holm, Clean Energy Policy Analyst at the Center, and James Goodwin, Senior Policy Analyst at the Center, concluded that the notice-and-comment rulemaking process does not allow individuals in marginalized communities to participate meaningfully in the regulatory system. [read post]
31 Aug 2023, 1:02 pm
On August 28, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final payment rule for inpatient and long-term care hospitals (“LTCH”) that builds on the Biden-Harris Administration’s priorities to provide support to historically underserved and under-resourced communities and to promote the highest quality outcomes and safest care for all individuals. [read post]
31 Aug 2023, 5:53 am
It centers […] [read post]
30 Aug 2023, 12:24 pm
The comment period is open until October 2, 2023, and if finalized, the regulations would be effective for the first plan year beginning on or after January 1, 2025. 2The Technical Release (developed in collaboration with the Departments of Health and Human Services and Treasury) is available online here. 3The Fact Sheet (issued jointly with Health and Human Services’ Centers for Medicare and Medicaid Services) is available online here. 4The Guidance Compendium is… [read post]
30 Aug 2023, 7:35 am
The Centers for Medicare & Medicaid Services (“CMS”) responded to the ruling by temporarily suspending all Federal (i.e., IDR) process operations until the Departments can provide additional instructions, but has encouraged parties to continue to engage in open negotiations. [read post]
29 Aug 2023, 6:33 am
The Centers for Medicare and Medicaid Services (CMS) released the names of the top 10 drugs by Medicare spend on Aug. 29. [read post]
23 Aug 2023, 1:13 pm
Through his genetics testing company LabSolutions LLC, Patel conspired with patient brokers, telemedicine companies, and call centers to sign up Medicare patients for expensive cancer genetic tests. [read post]
23 Aug 2023, 1:13 pm
Through his genetics testing company LabSolutions LLC, Patel conspired with patient brokers, telemedicine companies, and call centers to sign up Medicare patients for expensive cancer genetic tests. [read post]
