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News
Miami PA gets 15 years in Medicare fraud case
By Lisa Schencker | October 23, 2014 | Basic Web Basic Web Subscription Details
A Miami physician assistant was sentenced this week to 15 years in prison for his role in a $200 million Medicare fraud case, even though his attorney argued he was not a central figure in the scheme.
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News
Texas hospital executives convicted in Medicare fraud case
By Lisa Schencker | October 21, 2014 | Basic Web Basic Web Subscription Details
A federal jury in Texas convicted the former head of Houston's Riverside General Hospital, along with several others Monday, of attempting to defraud Medicare of $158 million for mental health services that were medically unnecessary or never actually provided.
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News
Medicare.gov contractor looks to go public
By Bob Herman | October 21, 2014 | Basic Web Basic Web Subscription Details
Connecture, a technology company that powers and designs Web-based health insurance marketplaces, plans to go public. The Brookfield, Wis.-based company on Monday filed with the Securities and Exchange Commission for a proposed initial public offering of stock.
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News
Medicare considers national coverage for new prostate cancer test
By Bob Herman | October 18, 2014 | Basic Web Basic Web Subscription Details
Medicare will begin initial coverage for a genetic prostate cancer test and will consider national coverage. A Medicare administrative contractor, Palmetto GBA, said it will pay for a diagnostic test that evaluates prostate cancer risk in men, and the nation's largest payer will reach out to...
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Magazine
New fed loans to promote rural ACOs
By Melanie Evans | October 18, 2014 | Print Magazine Print Magazine Subscription Details
The Obama administration plans to offer infrastructure loans to small and rural healthcare providers to participate in Medicare's program for accountable care organizations.
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Magazine
CMS monitors Baylor's efforts to curb rate of 'eloped' psych patients
By Sabriya Rice | October 18, 2014 | Print Magazine Print Magazine Subscription Details
Baylor University Medical Center in Dallas has until the end of October to demonstrate to the CMS that it has addressed lapses that have allowed significant numbers of untreated psychiatric patients to walk out of its emergency department without staff realizing they had left.
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News
HCA sees Q3 revenue rising, realizes gain from RAC settlement
By John N. Frank | October 16, 2014 | Basic Web Basic Web Subscription Details
HCA Holdings, the largest for-profit hospital chain in the U.S., forecast that revenue increased to $9.2 billion for the third quarter from $8.5 billion in the same quarter in 2013.
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News
CMS loan program offers rural providers entry to accountable care
By Melanie Evans | October 15, 2014 | Basic Web Basic Web Subscription Details
The Obama administration plans to offer upfront cash to help small and rural healthcare providers build the infrastructure they need to succeed in Medicare's program for accountable care organizations.
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Magazine
Earnings report may reveal UnitedHealth's exchange plans
By Paul Demko | October 11, 2014 | Print Magazine Print Magazine Subscription Details
When UnitedHealth Group kicks off the third-quarter earnings season for insurers Thursday, reform watchers will be eager to hear more from its executives about their intentions for the 2015 Obamacare open enrollment.
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Magazine
Dialysis providers expect ACOs, payment cuts, consolidation
By Beth Kutscher | October 11, 2014 | Print Magazine Print Magazine Subscription Details
The $25 billion dialysis industry faces transformation as it moves from offering a profitable niche service to what insurers see as a cost center under the population health-management approach.
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