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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 ...
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 strategy targets kids covered through the company’s state-contracted Medicaid plans, funded by the government for the nation’s poorest and most vulnerable patients.
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 ...
Patient abuse or patient neglect is any action or failure to act which causes unreasonable suffering, misery or harm to the patient. [1] Elder abuse is classified as patient abuse of those older than 60 and forms a large proportion of patient abuse. [2] Abuse includes physically striking or sexually assaulting a patient. It also includes the ...
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]
Based on the Centers for Medicare and Medicaid Services’ five-star rating system for nursing homes, of the 199 homes examined in Washington, 31, or about 15.6%, have the worst one-star rating ...
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.