Tuesday, September 24, 2013

United States: Will Usual And Customary Price Be The Next False Claims Act Battleground?

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Recently, a federal judge held that a  qui tam  relator's allegations that a pharmacy routinely reported falsely inflated "usual ...

New Medi-Cal plan displaces patients

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Samantha P. Hawthorne Staff Writer 9/24/2013   As of Sept. 1, Medi-Cal patients who reside in Lassen County but are seen by pr...

Minnesota rehires actuarial firm criticized over HMO payments

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By Christopher Snowbeck csnowbeck@pioneerpress.com POSTED:   09/23/2013 12:01:00 AM CDT  |   UPDATED:   ABOUT 9 HOURS AGO A...

Texas Hospital Remains in False Claims Act Litigation with 3 Cardiologists

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 VICTORIA, Texas (CN) - Three cardiologists may be able to show that a Texas hospital paid kickbacks for Medicare and Medicaid patient refe...
Monday, September 23, 2013

NH Medicaid clients getting managed care notices

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CONCORD, N.H.  — Thousands of New Hampshire Medicaid clients are receiving letters notifying them to pick one of three managed care plans ...

Nonprofit health insurance company forming in Wis.

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MILWAUKEE (AP) — Business leaders and community organizers in Milwaukee have formed a nonprofit health insurance company to provide covera...

Owners of At Home VNA and their partner charged with scamming Medicare

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A Natick man and his Everett business partner scammed more than $27 million from Medicare over six years, federal authorities allege in a ...

St. Luke’s on trial this week

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What to know about the case brought by federal and state regulators, as well as Saint Al’s. By AUDREY DUTTON   — adutton@idahostatesman....
Friday, September 20, 2013

HBR: Redefining the Patient Experience with Collaborative Care

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HARVARD BUSINESS REVIEW: by Leonard L. Berry and Jamie Dunham  |   9:30 AM September 20, 2013  It’s a common patient complaint about t...

Kaiser Permanente's Medicare Plans Are No. 1 Again

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Kaiser Permanente Medicare plans hold top five spots in rankings; all Kaiser Permanente Medicare and Private plans are highest-ranked in t...