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For example, Cigna Group agreed to pay $172 million last year to settle a lawsuit filed by the Justice Department over its Medicare Advantage practices for allegedly using in-home health risk ...
Substance abuse, especially of alcohol and prescription drugs, for adults 60 and over is a fast-growing health problem in the U.S.. According to the 2022 National Survey on Drug Use and Health ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
The Center for Medicare and Medicaid services evaluated Georgia nursing homes and rated each based on health inspections, staffing and quality measures like the number of residents in pain or up ...
COBRA was not a complete solution, and in the years after its passage, hospitals struggled with creating appropriate discharge protocols and the cost of providing health care for homeless patients. [14] Statistically, Texas and Illinois had the highest rates of patient dumping because of economic difficulties. [5]
The Zone Program Integrity Contractor (ZPIC) is an entity established in the United States by the Centers for Medicare & Medicaid Services (CMS) to combat fraud, waste and abuse in the Medicare program.
Washington Care Center (cited for abuse) — 2821 S. Walden St., Seattle. The following nursing homes have also been cited for abuse, but either don’t have a rating yet or rate higher than one star.
The American Medical Association (AMA) also opposed this bill because it wanted a solution that would be long-term, instead of yet another one-year delay. [3] [8] The AMA had supported the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (H.R. 4015; 113th Congress), instead of this bill.