The Centers for Medicare and Medicaid Services recently proposed a change to the Medicare Shared Savings Program. The goal is to move accountable care organizations toward a system in which they share in savings they generate but also are responsible for repaying shared losses.
Medical device manufacturer AngioDynamics Inc. will pay the federal government $12.5 million to resolve allegations that it used misleading statements to promote two of its products, causing healthcare providers to submit false claims to federal healthcare programs.
The Detroit-based William Beaumont Hospital system has agreed to pay the federal government $84.5 million to resolve False Claims Act allegations that it fostered improper relationships with eight referring physicians, violating the Anti-Kickback Statute and the Stark Law.
Prime Healthcare Services Inc. (along with Prime Healthcare Management Inc. and Prime Healthcare Foundation Inc.) will pay the federal government $65 million to resolve False Claims Act allegations that 14 of its California hospitals admitted patients who could have been treated as outpatients.
The Centers for Medicare and Medicaid Services is seeking input from the public on how the physician self-referral law, or Stark Law, may be affecting the coordination of care for federally funded patients.
CityMD, an urgent care center chain with locations in New York, New Jersey, and Washington, D.C., recently admitted responsibility for conduct that led to False Claims Act allegations brought against it in the Southern District of New York.
The Centers for Medicare and Medicaid Services (CMS) has agreed to extend and update Maryland’s all-payer model. CMS describes that model — the only of its kind in the United States — as one in which “all third parties pay the same [hospital] rate.”