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False Claims Act: Prediction on Supreme Court Ruling on Government Dismissal Authority

Healthcare Law Today

The case asks whether the government has authority to dismiss an FCA suit after initially declining to proceed with the action, and if so, what standard would apply. Petitioner-Relator Polansky is a doctor and former consultant for Executive Health Resources (EHR), a company that submits claims to Medicare on behalf of health care providers.

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Castlight + Vera Appoints New CEO; Rebrands as Apree Health

HIT Consultant

market to the first-ever vice president of Cerner’s government practice. From 2010-2012, he led the execution of natural language processing supplier CodeRyte’s rapid growth plan, culminating in its strategic acquisition by 3M in 2012. Louis-based Lumeris. “There is a crisis of affordability in U.S.

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MultiPlan Acquires Leading Healthcare Data and Analytics Firm Benefits Science LLC

Healthcare IT Today

Furthermore, the acquisition of BST strengthens MultiPlan’s foothold in large and fast-growing adjacent markets by unlocking the value of its significant and expanding claims flows for in-network commercial, Medicare Advantage and other government programs, property and casualty, and supplemental insurance markets.

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Medicare Remains "High-Risk" Program

The Health Law Firm

A report released by the Government Accountability Office (GAO) on February 27, 2013, announced that Medicare will remain a "high-risk" program with respect to its fraud and waste vulnerability. In 2012, according to the report, CMS let more than $44 billion in improper payments go out. By Lance O. Leider, J.D.,

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American Hospital Association (AHA) Sues Government for Allegedly Unfair Medicare Practices by RAC, ZPIC and Other Auditors

The Health Law Firm

On November 1, 2012, the American Hospital Association (AHA) filed a lawsuit against the US Department of Health and Human Services (HHS) claiming that private auditors hired to crack down on improper Medicare payments are denying hospitals millions of dollars in medically necessary care, this is according to a number of sources.

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M&A: MultiPlan Acquires Benefits Science LLC for $160M

HIT Consultant

BST was founded in 2012 by a group of MIT-trained experts in data science, including Dimitris Bertsimas, Ph.D., Risk Analytics & Insights – solutions that complement existing actuarial-based modeling by applying interpretable risk models, risk scoring, and prescriptive analytics for commercial and government health plans.

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Feds Tap the Brakes on Power Wheelchair Medicare Fraud = New Program Requires Advance Approval

The Health Law Firm

On September 19, 2012, power wheelchair suppliers voiced their concerns over a new government program called the Power Mobility Devices (PMDs) Demonstration at a Senate Special Committee on Aging. Indest III, J.D., Board Certified by The Florida Bar in Health Law.