Compliance & Legal
The federal government claims insurers are being funded through a practice of raising premiums known as "silver loading."
The lawsuit alleges the conditions would put Huntington at a distinct disadvantage compared to other hospitals in the region.
The extended review was prompted by a letter from the American Hospital Association raising possible antitrust concerns.
Any complaints received during the suspension period will be investigated within 45 days; correction plans are required.
ComplyAssistant CEO Gerry Blass discusses the ramifications of the HICP law and best practices for healthcare organizations to comply.
Optum would have competitive payers' data to inform its reimbursement rates, giving UHC more clout in negotiations.
At least 65% of the top 100 largest hospitals were “unambiguously noncompliant” with the rule as of early February.
HHS Office of Inspector General has issued a fraud alert over COVID-19 scams.
Brookdale Senior Living allegedly submitted false staffing information that led to “undeserved higher star ratings.”
Fraudulent activity was on the rise in 2020, but recoveries lagged during the public health crisis. Now the bill is coming due.