Federal judge to troubled operator: Exhaust other options before you make a federal case
By
James M. Berklan
Jun 11, 2013
A facility with a history of safety deficiencies must exhaust its administrative options before seeking relief in the courtroom, a district court judge ruled. Moreover, the requested temporary injunction...
Hospice to pay $3 million to settle Medicare fraud whistleblower case
By
Tim Mullaney
Nov 07, 2013
A Florida-based hospice provider has agreed to pay $3 million to settle a whistleblower lawsuit alleging false Medicare claims, the U.S. Department of Justice announced Wednesday.
Court: Medicare hospice provider cap calculated improperly
Mar 04, 2010
The federal Medicare hospice provider cap is calculated in a way that is “arbitrary, capricious, an abuse of discretion, and unlawful,” a federal court recently ruled.
Medicare C-SNP enrollment improves kidney disease outcomes: study
By
Alicia Lasek
Nov 03, 2020
Adults with end-stage renal disease appear to have lower rates of hospitalization and mortality when they enroll in Medicare’s Chronic Condition Special Needs Plans, a new investigation has found.
False Claims suit against Omnicare, CVS Health dismissed in appeals court
By
Danielle Brown
Aug 20, 2020
Omnicare and parent company CVS Health earned a court victory this week after a federal appeals court agreed to dismiss a whistleblower’s False Claims Act lawsuit for an alleged kickback scheme.
Hospices to receive 2.5% bump for Medicare patients
Aug 01, 2011
Hospices treating Medicare beneficiaries will see a 2.5% increase in payments for fiscal year 2012, according to a final rule released Friday by the Centers for Medicare & Medicaid Services. They must...
Lawmakers seek to bolster Medicare, Medicaid mental health coverage
By
Alicia Lasek
Dec 07, 2022
Senators cited constituent concerns about so-called ghost networks — listings of physicians who are unavailable to provide care.
Opposition to Medicare cuts grows in Senate
Jul 29, 2008
Nearly half of the nation’s senators have voiced objections to proposed Medicare cuts of $770 million in fiscal year 2009, according to the American Health Care Association and the Alliance for Quality...
A new Medicare overhaul proposed by two Republican senators on Thursday would save an estimated $200 billion to $500 billion over 10 years by way of “premium support.”
Nursing home residents targeted in $86M Medicare lab fraud scheme: DOJ
By
Danielle Brown
Jul 09, 2021
Nursing homes and their residents were targeted in an alleged $86 million Medicare fraud scheme orchestrated by the owner of a Tennessee-based lab, federal authorities say.