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Going after fraud from a new angle

Going after fraud from a new angle

By Lisa Schencker  |  May 28, 2016

Tactics used in the federal inquiry that led over 500 hospitals to settle charges they submitted false claims for implantable heart devices could shape how the government conducts future Medicare fraud investigations.

CMS offers no-risk risk contracts in primary-care initiative

By Virgil Dickson  |  May 27, 2016

Insurers wonder if CMS' latest effort to drum up interest in the Comprehensive Primary Care Plus Initiative will overcome obstacles to participation in states that have laws prohibiting physician practices from taking on risk-based contracts.

IHS hospital in South Dakota threatened with funds cutoff

By Associated Press  |  May 24, 2016

The CMS threatened Monday to cut off Medicare and Medicaid funding to an Indian Health Service hospital in Rapid City—the third South Dakota hospital serving Native Americans that's been found to have serious deficiencies in recent months.

Here's what CEOs think of candidates' healthcare ideas

Here's what CEOs think of candidates' healthcare ideas

By Shannon Muchmore  |  May 21, 2016

The nation's top healthcare leaders overwhelmingly back the Affordable Care Act and support its goal of pushing providers away from fee-for-service medicine and toward delivering value-based care, according to Modern Healthcare's second-quarter CEO Power Panel poll.

Data Points for May 23, 2016

Data Points for May 23, 2016

By ModernHealthcare  |  May 21, 2016

Data Points for the week of May 23, 2016, covered the following topics: Knee and hip replacements and bundled payments for them from Medicare and the number of Americans with knee and hip replacements.

Bill targets socio-economic factors in hospital readmissions

Bill targets socio-economic factors in hospital readmissions

By Shannon Muchmore  |  May 19, 2016

The bipartisan legislation put forward this week would also allow off-campus hospital outpatient departments currently under construction to continue receiving higher rates than similar facilities that aren't owned by hospitals.

MACRA struggles in evaluating long-term care

By Shannon Muchmore  |  May 13, 2016

The new model for Medicare reimbursement is still geared more toward acute care, skilled nursing and institutional care than long-term care provided in the community, advocates say.

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