Redesigning Healthcare: How Accessible Data Leads to Better Care
Value-based care promises to right the wrongs of fee-based healthcare. But today, we’re a long way from a value-based system. One way to get there faster? Prioritize access to data.
Report: Federal agencies fighting healthcare fraud recouped $3.1B in 2020
Spearheaded by the Departments of Justice, and Health and Human Services, efforts to investigate and prosecute healthcare fraud resulted in the government recovering billions, including about $2.1 billion for the Medicare Trust Funds.
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The Healthcare Payments Industry Faces a Perception Challenge
Healthcare payments are no longer about transactions. It’s about controlling the revenue cycle. And increasingly, that control is not sitting with ISOs.
Novartis agrees to pay $729M to settle kickback lawsuit
The payments include $678 million related to speaker and promotional programs that took place between 2002-2011 and $51.25 million related to support for a charitable co-pay foundation. The lawsuit originated as a whistleblower suit in 2011.
Feds bust alleged $1.2 billion telemedicine Medicare fraud scheme
Suspects in the case include executives at five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals.
Pathway Genomics pays more than $4M to settle kickback allegations from DOJ
"While genomic testing is a valuable and relatively recent medical tool, when specialized laboratories pay for referrals they aren't breaking any new ground but rather engaging in the same old kickback schemes," Special Agent Chris Schrankof said in a statement.