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26 May 2010, 4:00 pm
Prime Healthcare Services (PHS) recently settled its long standing dispute with the Department of Managed Health Care (DMHC) related to a single instance of alleged "balance billing" as to Kaiser commercial enrollees. [read post]
18 Feb 2014, 2:38 pm
The department offers health care to nearly 10 million people through its TRICARE program, an integrated system of military health care providers and regional networks of civilian providers. [read post]
26 Aug 2019, 5:42 pm
David Siegel (Health Care Administration Expert Witness) to provide testimony. [read post]
12 Nov 2023, 5:17 pm
Amazon recently announced that it would offer low-cost health benefits for Prime members through a partnership with One Medical, a health care business Amazon purchased last year. [read post]
21 Dec 2016, 2:08 am
Apparently, health care fraud prosecutions are a tool for prosecutors going after CPDs. [read post]
24 Oct 2011, 3:27 am
” Yet the resistance to health care changes is fierce. [read post]
5 Jan 2014, 10:31 am
The overwhelming presumption is that all hospitals are health-promoting, job-creating, community welfare-enhancing institutions. [read post]
6 Jul 2012, 3:22 pm
As part of the largest settlement of a health-care fraud case in U.S. history, GSK agreed to pay a $956.8 million criminal fine and forfeit an addition $43 million. [read post]
10 Dec 2014, 6:41 am
Cross-posted from Irish Mental Health Lawyers Association:Implications of the Assisted Decision-Making (Capacity) Bill 2013 for Vulnerable Persons in Congregated SettingsSubmissions by The Irish Mental Health Lawyers Association on the Assisted Decision–Making (Capacity) Bill were made to the Department of Justice on the 30th of October 2013.The Prime Time programme aired last night on the treatment of vulnerable persons in the care of the HSE at… [read post]
29 Jul 2022, 9:09 pm
ACOs are a prime example of what is known as a value-based care structure, according to which providers are paid based on patient health outcomes for services rendered. [read post]
28 Feb 2022, 1:21 pm
Hospitalists have initiated or supported whistleblower lawsuits concerning unnecessary inpatient admissions against Community Health Systems, Health Management Associates, and Prime Healthcare. [read post]
27 Dec 2013, 3:15 am
The California-based chain, says the CIR, “might be receiving five-star health care ratings because it exaggerates how ill its patients really are,” according to state lawmakers who sent the company a letter suggesting Prime’s rating by Truven Health Analytics is bogus. [read post]
22 Sep 2010, 5:34 am
If you're looking for another prime example of nursing home neglect, you need look no farther than to take a look at a news story in The Palm Beach Post regarding an elderly patient at Gainesville Health Care Center, a Florida nursing home. [read post]
18 Feb 2019, 7:32 am
On February 6, the Department of Justice announced that Tampa-based Greenway Health, LLC, the maker of electronic health records software, will pay $57.25 million to resolve allegations that the company’s software caused the submission of false claims by health care providers which used it, and that the company offered unlawful inducements for the use of its products. [read post]
30 Jun 2014, 9:00 am
Why Fight Health Care Fraud? [read post]
6 Aug 2018, 7:00 am
* * * The company also agreed to accept a five-year Corporate Integrity Agreement with the Department of Health and Human Services’ Office of Inspector General. [read post]
12 Aug 2010, 1:18 pm
Department of Justice recently announced criminal charges against 94 people relating to Medicare and Medicaid fraud which is reportedly the largest health care fraud sting in U.S. history, according to an article on SFgate.com. [read post]
13 Jul 2019, 2:07 am
The New York State Department of Health, working collaboratively with the Albany County Department of Health, Montgomery County Public Health, Saratoga County Public Health and Schenectady County Public Health Services, is investigating reports of multiple cases of Cyclosporiasis. [read post]
26 Jul 2022, 5:00 am
Department of Health and Human Service estimates, the total per capita lifetime health spending (in 2016 dollars) is $414k; if health care spend increases 3% greater than overall inflation (quite likely), that number would be $2.3 million. [read post]
27 Sep 2019, 12:59 pm
In last month’s blog, we discussed the broader changes underway in military health care procurement, including those impacting the VA. [read post]