Medicare & Medicaid
Former Benchmark Healthcare chief pocketed money while residents did not receive medication, food and needed dietary supplements, DOJ said.
Group's general counsel says OIG's understanding and application of Medicare rules are flawed.
Medicare advisory commission recommends voluntary physician participation in a program with measures more similar to APMs.
Reimbursement to physicians is linked to the health outcomes of their patients.
The program has allowed hospitals of varying size to realize meaningful operating cash flow, Moody's says.
Officials said the $1.5 billion lost from 2005 through 2014 was a "conservative estimate" while patients paid $140 million in out-of-pocket costs.
Star ratings released last December will remain on the Hospital Compare website until the next update, CMS said.
Despite the collapse of the latest Senate effort to repeal the ACA, Republicans are still keen on shrinking the amount of Medicaid money Washington sends to states.
Acquisition helps position Anthem as a dominant player in a market projected to increase in enrollment, revenue, but shrink in the number of insurers.
CMS innovation center programs in limbo as officials say free market approach will encourage competition among healthcare providers.