jlagasse

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Department of Justice claims Community Health Network fraudulently billed Medicare

CHN allegedly received referrals from physicians in violation of the Stark Law and submitted Medicare claims knowing they were ineligible.

Price transparency rule could lead to narrower networks, experts say

For capitalism to continue in healthcare, negotiations need to continue behind closed doors, one expert said.

Healthcare paperwork cost U.S. $812 billion in 2017, 4 times more per capita than Canada

Doctors, hospitals, and other health providers in the U.S. spent far more on administration due to complexity.

Owner of Los Angeles rehab center pleads guilty to $175 million healthcare fraud

The owner plead guilty to seven counts of grand theft, five counts of insurance fraud and one count each of identity theft and money laundering.

Older adults use online physician ratings, but view them cautiously, poll shows

Online reviews matter about as much as what an older person hears from family and friends through word of mouth.

Expected record flu season could be financial windfall for hospitals

In the last week of December, an average of 6.9% of patient visits were due to the flu or flu-like illnesses, up from previous years.

Structured, salary-only compensation plan for physicians a possible model for pay equity

In the model, pay equity was affirmed in 96% of cases, and of those with higher-than-predicted compensation, there was no link to gender or race.

New Maine law says private health insurers must provide hearing aid benefits

Previously, Maine required hearing aid coverage for children under the age of 18, and capped the insurer’s expense at $1,400.

Federal watchdog cracks down on inflated Medicare payments

Insurers were allegedly found to be exaggerating the health ailments of patients, receiving billions.

HHS issues new vaping enforcement policy targeting e-cigarettes with kid-friendly flavors

The policy, which will be enforced by the FDA, specifically targets cartridge-based e-cigarettes such as Juul, as well as non-tobacco flavors.