The lawsuit alleges that UPMC and the chair of its cardiothoracic surgery department knowing submitted false claims for concurrent surgeries that violated regulations. But, according to UPMC, there is no regulation that prohibits overlapping surgeries or billing for them.
The Centers for Medicare and Medicaid Services issued new guidance for healthcare providers to cancel elective procedures. CMS said the measures are intended to maintain the supply of personal protective equipment and ICU beds as healthcare providers grapple with Covid-19.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.