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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.
HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Healthcareaccess, portability, and renewability. Title II: Preventing healthcarefraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?
The Final Rule adopts a host of reforms aimed at improving healthcareaccess, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R.
SDOH are generally grouped into five areas, including: Social and community – Access to fresh food, and the ability to participate in social activities Quality education – Access to schools, language, and literacy skills Neighborhood and built environment – Feeling safe and having basic needs met, such as clean water and reliable transportation (..)
2 sentenced for $48M medical reimbursement account fraud scheme. How New Orleans health leaders are reacting to city’s lifted vaccine mandate. MA Unveils Bill to Boost Behavioral Health, Primary CareAccess. Massachusetts Doctor Faces HealthCareFraud Charges. 2 subvariant rises.
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.
Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass.
News & World Report for the Best Hospitals for Maternity Englewood Health Expands Local Availability of Specialized Medical and Surgical Expertise with the Addition of Several New Specialists Hackensack Meridian Jersey Shore University Medical Centers New $45 Million Cardiovascular Suite Opens Dec. TEXAS Bivacor to implant more U.S.
New report brings grim statistic to Mississippi maternal health UMMC program provides mental healthcare for moms Faith, medical leaders to discuss expanding healthcareaccess at Gov. Months later, apparently only a third qualify.
New report brings grim statistic to Mississippi maternal health UMMC program provides mental healthcare for moms Faith, medical leaders to discuss expanding healthcareaccess at Gov. Months later, apparently only a third qualify.
Melhem Solh Wellstar Kennestone Regional Medical Center becomes a Level I trauma center This initiative at Mercer hopes to bolster pediatric health How a small Georgia town is feeling the rural healthcare crisis HAWAII Executive Insight: Ching Jen Lum funds Kahala Nui’s mission to help Hawaii seniors Kaiser Permanente provides grants for behavioral (..)
Mary’s Hospital unit closures Two Blessing Health leaders retire on July 1 OSF: Peru hospital to be reopened in fall Expert panel examines policy opportunities at intersection of health and incarceration in Illinois Illinois health policy experts discuss Medicaid managed care and the future of dual-eligible coverage INDIANA 3 big noncompete ban (..)
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Balderas Joins $230M Settlement Against Pharmaceutical Company Over Allegations Of Medicaid Fraud. Dr. Anthony Torres named CEO of Dignity Health hospital. Mobile medical clinic expands healthcareaccess on Moloka?i. The “Great Resignation” comes to healthcare jobs in Idaho. billion fraud.
SteelSky Ventures moves to Atlanta with $50M fund focused on women’s health. Solicitor General to Weigh In Hospice Fraud Case. Brian Kemp’s budget covers for Georgia healthcare — and what it doesn’t. Health Tech Startup Closes Seed Round. Indiana recovers $316K in Medicaid fraud settlement.
Medical Society names Hamilton primary care physician as new president Mass. primary care system is in ‘crisis’, says new report Meet the Mass. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov.
But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s
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who has troubled track record Nursing home accused of disability discrimination will pay employee $50K, feds say Saint Peter’s Healthcare, Atlantic Health move toward merger New Jersey Makes Hospital at Home a State Program N.J. continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow!
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Petersburg Cano Health board members re-elected despite opposition from billionaire Cano Health CEO Marlow Hernandez steps down Flagler-UF Health merger agreement expected to be signed Sept. Million to Resolve False Claims Act Allegations S.
healthcare Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. Luke’s partners with TytoCare for virtual primary care at home ‘We are heartbroken.’ NATIONAL 8.5M
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UConn Health to hire formerly incarcerated people. s Rose Health acquired by West Coast behavioral health company. New Ward 8 urgent care opens in effort to expand healthcareaccess. DC Health to Merge Monkeypox and COVID Centers. GW urgent care unit opens in Southeast.
1 A UConn team wants to move groundbreaking health research to humans. James Wilson can continue, judge rules TeleTracking Technologies names Anita Dressel as president RHODE ISLAND After Blue Cross, Tufts appeal $15B Medicaid contract, state agrees to reevaluate CVS exec lands Revlon CEO role Lifespan renamed Brown University Health R.I.
Luke’s hospitals getting shortchanged on government funding, lawmakers say AdaptHealth to pay $5.3M Luke’s hospitals getting shortchanged on government funding, lawmakers say AdaptHealth to pay $5.3M
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health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C. healthcarefraud scheme SA cancer research company entering Dallas market as it eyes more U.S.,
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fraud scheme Newly filed legislation in Missouri aims to address workplace violence in healthcare Pressures to merge are high for KC-area hospitals, experts say SSM Health to buy home health business St. Evers’ task force to address challenges in Wisconsin’s healthcare system Gov.
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Trump and his campaign have been vague about plans on healthcare policies, though current and former Trump aides have published blueprints that go well beyond reversing programs in force under the Biden administration, to overhauling public health agencies and enabling Trump to quickly fire officials who disagree.
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