Compliance & Legal

The U. S. Department of Health and Human Services announced Thursday that an independent review of proposed health insurance rate increases by Trustmark Life Insurance Company affecting members in five states are "unreasonable."

The Supreme Judicial Court of Massachusetts struck down a state law in effect since 2009 that barred some legal immigrants residing in the state from receiving subsidized health insurance coverage.

The United States Justice Department has joined a whistleblower case alleging that a national chain of for-profit hospices violated the False Claims Act by spending millions of taxpayer dollars to care for Medicare recipients in hospice who were not terminally ill.

Even though the Centers for Medicare & Medicaid Services has taken steps to curtail fraud and abuse from Medicare suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), it needs to do more says a recently released report from the Office of Inspector General.

Providers offer options for the Supercommittee to cut Medicare costs by making better coverage decisions and discouraging routine unnecessary services.