Compliance & Legal

Jefferson's hospital network will grow to 18 locations with Einstein's three general acute care hospitals and an inpatient rehabilitation hospital.

The Medicare Act "prohibits Medicare payment for services that are not furnished within the United States," according to the filing.

During the first six months of FY 2021, Mercy lost an average of $5 million a month.

Humana is also working with CMS on a demonstration program for a hospice benefit for MA members.

Under the Biden Administration, the DOJ says the ACA can stand even though there is no longer a tax penalty for not having health insurance

"If the benefits of electronic health records are to be fully realized, patients must be confident providers have selected the most effective system - not the one paying the largest kickbacks," said one federal agent.

Such plans have left consumers with hundreds of thousands of dollars in medical bills, ACAP said.

Health insurers are no longer immune from federal antitrust scrutiny for conduct considered the business of insurance.

HHS is encouraging all relief fund recipients who have received aggregate payments exceeding $10,000 to establish a reporting account.

Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is "half-baked," AHIP says.