Category: ASC News

The small wins for physicians inside CMS' 2025 payment schedule

CMS recently released its 2025 physician payment rule, which included a 2.83% cut to physician payments, marking the fifth consecutive year of cuts. 

California physician, clinics to pay $10M to settle fraud allegations

Two physicians and two medical practices in California, working together under one operation, have agreed to pay $10 million to resolve kickback and false claims allegations. 

CVS, Walgreens & Walmart's healthcare strategy faces headwinds: 10 notes from 2024

Walmart, CVS and Walgreens faced major headwinds in 2024 as their efforts to push into primary care faltered. 

4 states with CON changes to watch in 2025

Certificate-of-need laws, which regulate the development of healthcare facilities, have been the subject of controversy in some states where healthcare leaders and legislators view them as stifling competition in the healthcare sector. 

Healthcare company to pay $15.2 million for fraud, kickback scheme

An Elevance-backed healthcare company based in Puerto Rico — MMM Holdings — has agreed to pay more than $15 million to resolve allegations that it violated kickback laws through a gift card incentive program intended to induce Medicare enrollments…

3 physician fraud suits in 10 days

Becker’s has reported on three physician fraud cases since Dec. 16. 

6 physician, payer conflicts in the last year

From gold card programs to reimbursement cuts, physicians across several specialties have clashed with payers over 2024 due to major policy changes. 

7 ASC closures in 2024: State-by-state breakdown

Here is a state-by-state breakdown of seven ASC closures Becker’s reported on in 2024:

Boston physician settles improper prescription allegations 

A family medicine physician in Three Rivers, Mass., will pay $220,000 to settle allegations he prescribed controlled substances outside the usual course of professional practice.

Arizona clinic owners plead guilty to healthcare fraud

Two Arizona residents have pleaded guilty to defrauding the Arizona Health Care Cost Containment System, Arizona’s Medicaid agency, through their behavioral health clinic.