“It’s a bizarre program that is absolutely essential to American healthcare.”
When President Johnson outlined his vision in the 1960s to achieve a Great Society, he mapped out a long “to do” list. Central to his mission to eliminate poverty, end racial disparities, and improve the quality of life of millions of Americans was the creation of the Medicaid and Medicare public health insurance programs.
At the White House Conference on Aging, the Centers for Medicare and Medicaid (CMS) proposed new rules to improve the care of approximately 1.5 million elderly who reside in more than 15,000 long-term care (LTC) facilities nationwide.
On July 8, the Centers for Medicare & Medicaid Services (CMS) released its 2016 Medicare Physician Fee Schedule Proposed Rule.
Like an episode of The West Wing, CMS followed the venerable tradition of announcing “bad news” before the start of a long holiday weekend.
On July 1, the Centers for Medicare & Medicaid Services (CMS) issued the proposed calendar year (CY) 2016 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rule (collectively, OPPS rule).
The U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services (HHS) announced on June 18, 2015, that the efforts of the Health Care Fraud Prevention & Enforcement Action Team (HEAT), a joint initiative between the DOJ and HHS to prevent and deter Medicare fraud, resulted in a nationwide Medicare Fraud Strike Force take down with charges against 243 individuals in 17 districts involving $712 million in Medicare fraud claims.
As we discussed yesterday, the Medicare Fraud Strike Force’s eighth annual nationwide takedown resulted in charges in 17 districts against 243 individuals for approximately $712 in false billings.
The U.S. Department of Health and Human Services (“HHS”) will be heading back to District Court—and likely the drawing board altogether—to grapple with a recent federal court holding that the Medicare equipment lease rule is probably illegal.