Biden Administration Rescinds Trump Administration Insulin …
WEBOct 26, 2021 · 181,079. One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December 23, 2020, the Trump Administration finalized a rule that directed the Department of Health and Human Services (HHS) to take action to require that federally qualified health centers (FQHCs) make insulin and ...
Baylor St. Luke’s Medical Center and ... - Policy & Medicine
WEBAug 29, 2024 · Baylor St. Luke’s Medical Center (BSLMC), Baylor College of Medicine (BCM), and Surgical Associates of Texas, P.A. (SAT), have agreed to pay $15 million to resolve claims that they billed for concurrent heart surgeries, in violation of Medicare teaching physician and informed consent regulations. BSLMC is a joint venture between CommonSpirit Health and BCM, a medical school in Houston, Texas.
DaVita Reaches $34 Million False Claims Act Settlement
WEBSep 12, 2024 · DaVita has agreed to pay more than $34 million to resolve allegations that it violated the False Claims Act by paying kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, and by paying kickbacks to nephrologists and vascular access physicians to induce the referral of patients to DaVita’s dialysis centers.
Sentencing Finally Completed for $189 Million Medicare Fraud …
WEBJun 23, 2021 · Earlier this year, the United States Department of Justice (DOJ) wrapped up sentencing in a $189 million Medicare fraud scam dating back roughly a decade. Bobby Rouse, Steven Houseworth, Jeffery Parsons, and David Edson were all members of the executive team of Continuum Healthcare, which owned mental health centers and Westbury Community Hospital in the Houston area.
CMS Updates Guidance on Sunshine Act Reporting Thresholds for …
WEBJan 25, 2021 · At the end of 2020, the Centers for Medicare and Medicaid Services (CMS) issued updated guidance on the thresholds that require an Applicable Manufacturer or Group Purchasing Organization to report under the Sunshine Act. Under the new guidance, if an Applicable Manufacturer or Group Purchasing Organization spends $11.05 or more on a “Reportable Activity” for any Covered Recipient from ...
Pharmacists’ Role to Expand Over the Next Decade
WEBMar 23, 2022 · According to recent research from the Columbia University Mailman School of Public Health and Express Scripts Pharmacy, pharmacists are well-trusted by patients and are expected to play an “increasingly integral role in care management.” The research surveyed more than 3,000 patients, 1,000 pharmacists, and 500 medical providers, and was designed to get a better understanding of the ...
PhRMA Announces Updated Code on Interactions with Health …
WEBOn August 6, 2021, the Pharmaceutical Research and Manufacturers of America (PhRMA) released its updated Code on Interactions with Health Care Professionals, a voluntary code of ethics that applies to pharmaceutical company interactions with United States health care professionals. As a member of the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA), the PhRMA ...
Institute of Medicine Report – The Future of Nursing: Leading …
WEBFeb 17, 2011 · As the current debate surrounding the Affordable Care Act (ACA) continues in Congress, a number of strengths and weaknesses of the legislation are being emphasized. One specific issue is how the American …
CMS Announces Increased Fines for Transparency Violations
WEBDec 3, 2021 · In early November 2021, in the 2022 Hospital Outpatient Prospective Payment System Final Rule, the United States Centers for Medicare and Medicaid Services (CMS) announced an increase in penalty for hospitals that are not incompliance with hospital price transparency requirements.. The 2021 Price Transparency Final Rule required hospitals to publish their charges based on five categories: (1 ...
HHS Final Rule a Win for Copay Accumulator Adjustment Programs
WEBJul 8, 2020 · On May 14, 2020 the Department of Health and Human Services (HHS) finalized the Notice of Benefit and Payment Parameters for 2021 (2021 NBPP Final Rule) that addressed whether drug manufacturer coupons must be applied towards the annual limitation on out-of-pocket costs (cost sharing). As finalized, direct support offered by a drug manufacturer for specific prescription drugs may be counted ...