Medicare & Medicaid
CMS will focus only on providers and suppliers that have high claim error rates or billing practices that vary significantly from their peers.
The state's Human Services department migrated its legacy eligibility systems to a modernized network in 2014, but the Inspector General's office found flaws caused by insufficient controls.
Initiatives attempted "wholesale practice transformation," which yielded little financial gain or improvements in quality, authors wrote.
The new consumer-focused website compares hospice agencies with self-reported quality reporting which some experts say has limited utility.
Sanofi, one of Mylan's competitors, brought the matter to the United States Attorney's Office in 2014, filed a complaint in 2016.
Providers await new voluntary models expected to soon be released.
The episode payment models and the cardiac rehab incentive models were designed as mandatory payment models to test the effects of bundling cardiac and orthopedic care beginning in 2018.
CMS is modifying the risk adjustment methodology for states where insurers have increased their silver metal plan rates based on an end to cost-sharing reduction payments.
Nationwide, about one percent of Medicare beneficiaries enrolled in 2016 received advance-care planning talks, according to health policy analysts.
The Department of Justice said the elaborate fraud scheme "takes brazen to a whole new level."