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HHS Awards States $665 Million to Design, Improve Health Care Delivery

Twenty-eight states, three territories and the District of Columbia will be the beneficiaries to over $665 million in Affordable Care Act funding to design and test health care payment and service delivery models that strive to both improve health care quality and lower costs, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced Tuesday. […]

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Medicare, Medicaid Net $2.3 Billion in Health Care Fraud Recoveries in 2014

The U.S. Department of Justice (DOJ) obtained a record $5.69 billion in settlements and judgments from cases involving fraud and false claims against the government in the fiscal year ending September 30, the federal agency announced in a report Thursday. Of that total, $2.3 billion was recovered from health care-related frauds.  FY 2014 marked the fifth […]

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Senate Proposes Bipartisan Competitive Bidding Bill

Following proposed legislation by the U.S. House of Representatives, the Senate has introduced a similar bill that would correct what some believe to be flaws in the Centers for Medicare & Medicaid Services’ (CMS) competitive bidding program for durable medical equipment (DME).  Late last week, Sens. Rob Portman (R-Ohio) and Ben Cardin (D-Md.) introduced the […]

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West Virgina Home Care Owner Makes Case for More State Funding

While the number of people age 65 and older in West Virginia is expected to increase by 1.5% by 2025, the amount of workers available to take care of that population is expected to decline by 9%, a home care service expert told state lawmakers on Monday. About 16% of people in the state are […]

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Tenn. Home Health Company Agrees to $25 Million Settlement

CareAll Management LLC and its affiliated entities have agreed to pay $25 million, plus interest, to the United States and the state of Tennessee to settle False Claims Act allegations, the Department of Justice (DOJ) announced recently. The settlement resolves allegations that CareAll — based in Nashville, Tenn., and one of the state’s largest home […]

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