Remove 2023 Remove Fraud Remove Health Care Access
article thumbnail

Ghost Networks and Mental Healthcare

Bill of Health

by Rebekah Ninan A recent lawsuit in the Southern District of New York has alleged that the health insurance company Anthem Blue and Cross Blue Shield violated state laws and committed fraud by maintaining “ghost networks” of mental health providers. Rebekah Ninan’s (J.D.

Licensing 124
article thumbnail

2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

The Final Rule adopts a host of reforms aimed at improving health care access, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. The Final Rule is effective June 5, 2023. Parts 417, 422, 423, 455, and 460.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Health Provider News – March 25, 2022

Hall Render

Idaho Health Experts Learning More About ‘Long-Haul COVID’ Idaho House passes 6.6% increase for 2023 Medicaid budget. 2 sentenced for $48M medical reimbursement account fraud scheme. How New Orleans health leaders are reacting to city’s lifted vaccine mandate. fraud scheme against payers, patients.

article thumbnail

Health Provider News

Hall Render

Tammany Health System create new residency program CHRISTUS nationally recognized for high-quality heart care Behind Ochsner LSU Health’s multimillion-dollar tech upgrades MAINE Millinocket hospital schedules renovation after $3.5M medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

article thumbnail

Health Provider News

Hall Render

Tammany Health System create new residency program CHRISTUS nationally recognized for high-quality heart care Behind Ochsner LSU Health’s multimillion-dollar tech upgrades MAINE Millinocket hospital schedules renovation after $3.5M medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

article thumbnail

Health Provider News

Hall Render

Vincent Parkview Health’s ASC strategy: 2 updates Indiana hospital margins lag behind nation, with some budgets in the red Report shows Indiana hospitals lost more than $700 million in income in 2023 Two Indiana Hospitals Receive a “D” in Patient Safety Franciscan Health to partner with nonprofits Beacon Health System receives $5.4M

article thumbnail

Health Provider News

Hall Render

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.