The Centers for Medicare & Medicaid Services (CMS) is doling out more penalties for 769 hospitals whose patients experience a high number of hospital-acquired conditions (HACs), Kaiser Health News reported
CMS in December finalized the new mandatory bundled payment models for cardiac and orthopedic care. As part of its effort to shift Medicare payments to rewarding quality by encouraging the coordination of care between hospitals, physicians and other providers, CMS announced the following three policies:
The Department of Justice (DOJ) recovered more than $4.7 billion in settlements and judgments from civil cases involving fraud and false claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, bringing the fiscal year average to nearly $4 billion since 2009, and the total recovery during that period to $31.3 billion.
Per-capita healthcare spending in 2015 grew by 5.0% and overall national healthcare expenditures (NHE) grew by 5.8%, according to a study recently released by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS).
The Office of Civil Rights (OCR) division of the U.S. Office of Health and Human Services (HHS) announced in November that the University of Massachusetts at Amherst (UMass) agreed to settle potential violations of HIPAA privacy and security rules. UMass agreed to a monetary payment of $650,000 and a corrective action plan.
The newly elected Trump Administration has indicated repeal of the Affordable Care Act is one of its top priorities. But full repeal of the law could throw False Claims Act reporting provisions into doubt.
In the largest settlement with a skilled nursing facility (SNF) chain in the Department of Justice’s (DOJ’s) history, Life Care Centers of America Inc. agreed to resolve a lawsuit against it for $145 million.
In October, the United States Attorney for the Southern District of New York and his counterpart from the Department of Health and Human Services Office of the Inspector General’s (HHS-OIG’s) New York Region, announced a $5.31 million settlement of a civil fraud lawsuit against a Manhattan based hematology-oncology group, Hudson Valley Associates. This settlement resulted from claims brought under the False Claims Act.