Compliance & Legal

The Centers for Medicare & Medicaid Services on Tuesday announced a new model of accountable care organization that asks participating healthcare providers to take on the highest level of risk with the possibility of higher returns than any other CMS program.

Daughters of Charity says it has "difficult decisions" ahead as terms placed by attorney general on the deal sink acquisition plans.

The Catholic Health Care System, aka ArchCare, allowed Medicare to be billed for patient care at the highest therapy-based levels, even though its subcontractor RehabCare, was often not providing therapy at those levels, according to the U.S. Attorney's Office.

Inaccuracies in the Medicare Advantage directories may trigger penalties of up to $25,000 a day per beneficiary or bans on new enrollment and marketing.

The groups are worried about anticipated failures resulting in a significant, multibillion dollar disruption for physicians and serious access-to-care issues for Medicare patients.

Opening arguments give glimpse of where Justices stand as hospitals, states and organizations call for the law to stay.

If the court rules against the Obama administration, those subsidies could be cut off for everyone in the three dozen states using healthcare.gov.

Denham allegedly solicited and accepted monthly payments from CareFusion Corp., maker of the antiseptic ChloraPrep, while serving as co-chairman of a National Quality Forum committee in 2009 and 2010.

Mary Ann Stewart faces a maximum sentence of 10 years in prison for healthcare fraud and five years in prison for making false declarations before a grand jury.

Nina Pham alleges the hospital knew of the impending medical crisis yet failed to provide training and proper equipment, including protective gear, to treat Ebola patients.