Health Populi

JUNE 5, 2022

In 2006 the Medicare Part D program was implemented, covering older Americans for prescription drugs for the first time. Medicare further drove expansion of generic drug utilization, with co-pays for generics lower for Medicare enrollees than branded drugs.

Overpayments 154

Overpayments Overpayment Medicare Medicare 154

Hall Render

APRIL 6, 2022

Turning to the present case, in Safeway , the relator alleged that the defendant engaged in the submission of false claims to the government when it “reported its ‘retail’ price for certain drugs as its ‘usual and customary’ price.” This footnote originated as a footnote in a memorandum issued by CMS in October of 2006.

Medicare 72

Medicare Medicare Medicaid Medicaid 72

HIPAA Journal

FEBRUARY 23, 2022

Title III: Tax-related health provisions governing medical savings accounts. Title V: Revenue offsets governing tax deductions for employers. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. Title IV: Application and enforcement of group health plan requirements.

HIPAA 99

HIPAA Fraud Health Insurance Medicaid 99

The Health Law Firm

JANUARY 17, 2013

The settlement agreement covers accusations that the doctors and the hospital billed Medicare for unnecessary cardiac procedures from 2001 to 2006. The Ohio hospital agreed to pay the US government $3.9 Click here to read the press release from the DOJ. A Former Employee of the Ohio Hospital Blows Whistle.

Hospitals 40

Hospitals Doctors Medicare Medicare 40

MedTrainer

SEPTEMBER 8, 2023

Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs. According to the DOJ, Covenant engaged in “improper financial relationships” with eight referring physicians and a physician-owned investment group from 2006 to 2013. Loss of reimbursements.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Kaiser Health News

JUNE 16, 2022

Hospitals recorded their most profitable year on record in 2019, notching an aggregate profit margin of 7.6%, according to the federal Medicare Payment Advisory Committee. Even Medicare coverage can leave patients on the hook for thousands of dollars in charges for drugs and treatment, studies show. Family deductibles can top $10,000.

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Bill of Health

JANUARY 3, 2023

Some scholars have interpreted this to mean that the federal government has the right under the Commerce Clause to regulate all medical licensure. Gupta cites the Dormant Commerce Clause doctrine, a court-invented principle which allows the federal government to strike down state laws deemed excessively burdensome to interstate trade.

Licensing 130

Licensing Telemedicine Governance Federal Policy 130