Government: Page 207
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CareAll to pay $25M in false claims suit
The whistle-blower who brought the suit claims that he was demoted when he refused to participate in the fraud scheme.
By Katie Bo Williams • Nov. 13, 2014 -
Halbig case on hold until SCOTUS rules on King
Premium subsidies for plans purchased on the federal exchange hang in the balance.
By Katie Bo Williams • Nov. 12, 2014 -
Some Pioneer ACOs to solicit enrollment
If beneficiaries enroll voluntarily, are they more likely to seek care within the ACO's provider network?
By Katie Bo Williams • Nov. 11, 2014 -
Anthem Blue Cross reveals member information in emails
It is unclear at this time whether or not the incident will require a breach notification.
By Katie Bo Williams • Nov. 11, 2014 -
LA hospitals secure funding in constitutional amendment
Critics are concerned that while hospitals will benefit, payers and patients might suffer.
By Katie Bo Williams • Nov. 11, 2014 -
Judge in Partners acquisition case is skeptical of settlement
Did exiting attorney general Martha Coakley approve the Partners settlement to further her gubernatorial campaign efforts?
By Katie Bo Williams • Nov. 11, 2014 -
HHS drops enrollment estimates
The agency's numbers are significantly lower than the most recent Congressional Budget Office estimates.
By Katie Bo Williams • Nov. 10, 2014 -
Massachusetts sees biggest hospital closure in decade
The attorney general's office will investigate the closure, which will mean huge losses for owner Steward Health Care System.
By Anne Zieger • Nov. 10, 2014 -
Medicaid DSH cuts spell disaster for some hospitals
Reductions in disproportionate share payments could force some hospitals to cut back on key services for low-income populations, and tip others into financial crisis.
By Anne Zieger • Nov. 10, 2014 -
CHS sells AL hospital to Prime satisfy FTC order
The agency required the hospital chain to divest two facilities in order to proceed with a $7.6-billion acquisition of Health Management Associates.
By Katie Bo Williams • Nov. 10, 2014 -
Supreme Court to take subsidy case
If the Court rules in favor of the plaintiffs, the decision could wreak havoc on the structure of the Affordable Care Act.
By Katie Bo Williams • Nov. 7, 2014 -
Deep Dive
The Friday Dive: Biotronik to pay $4.9M in kickback settlement
Healthcare Dive's editor looks back on the biggest news from the last week.
By Katie Bo Williams • Nov. 7, 2014 -
OIG audits to target Medicare Advantage plans
Specifically? Risk inflation.
By Katie Bo Williams • Nov. 5, 2014 -
Deep Dive
The 3 biggest healthcare issues the Republican victors will tackle
Hint: A full Obamacare repeal is not on the agenda.
By Katie Bo Williams • Nov. 5, 2014 -
New HHS guidance: Employer health plans must cover inpatient services
A previous loophole in the Affordable Care Act allowed self-insured employers to design "skinny" plans without hospitalization coverage.
By Katie Bo Williams • Nov. 5, 2014 -
Study: Extra day in hospital may save lives, cut long-term costs
Readmissions cost almost $17 billion annually. This new study suggests longer stays can significantly reduce that.
By Randy Lilleston • Nov. 4, 2014 -
New CMS data shows lackluster Stage 2 numbers
CHIME called the numbers "disappointing, yet predictable."
By Katie Bo Williams • Nov. 4, 2014 -
MA, Obama administration strike 5-year Medicaid waiver deal
The state administration praised the length and size of the deal—although the level of funding provided was lower than they had originally requested.
By Sy Mukherjee • Nov. 4, 2014 -
Will Medicare begin paying for end-of-life counseling in 2016?
The administration is considering it. Cue the political debate.
By Katie Bo Williams • Nov. 3, 2014 -
Medicare telehealth payments to rise in 2015
The American Telemedicine Association still did not get everything it asked for in the new 2015 payment rules.
By Katie Bo Williams • Nov. 3, 2014 -
Supreme Court will not hear ACA subsidy case (at least for now)
What happens next?
By Katie Bo Williams • Nov. 3, 2014 -
Medicare paying for drugs for the dead
Medicare's policy of paying for prescriptions filled up to 32 days after a patient's death may have cost the agency millions and fueled the black market for costly drugs.
By Anne Zieger • Nov. 3, 2014 -
Study: How is the ACA being advertised?
The ACA has generated an unprecedented volume of political and health insurance advertising, but despite its volume, it's not clear what impact the ad blitz has had on consumers.
By Anne Zieger • Nov. 3, 2014 -
When the public drives the health system, public health suffers
Are prevention resources being spent based on emotion rather than logic?
By Anne Zieger • Nov. 3, 2014 -
Deadline today for providers to respond to CMS appeal offer
The agency wants to cut back the backlog of challenged Medicare claims. But will hospitals take the offer?
By Anne Zieger , Katie Bo Williams • Oct. 31, 2014
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