Home Health Sector Remains Area of Focus For Fraud Watchdogs

The federal government saw a return of nearly $1.9 billion in health care fraud settlements and judgments in 2021. Of this $1.9 billion, the Medicare Trust Funds received $1.2 billion, and the U.S. Centers for Medicare & Medicaid Services (CMS) received roughly $98.7 million. The Health & Human Services Office of Inspector General’s (HHS-OIG) annual […]

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. […]

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 […]

CMS Final Rule Gives Healthcare Providers Flexibility in EHR Use

The Department of Health and Human Services (HHS) published a final rule Friday that allows health care providers more flexibility in how they meet meaningful-use guidelines for the EHR Incentive Program reporting period for 2014, the Centers for Medicare & Medicaid Services (CMS) announced. Under the final rule, which left a previous proposal in May […]

Minnesota HHS Funds $3.5 Million for HCBS Innovation Programs

The Minnesota Department of Health and Human Services is offering $3.5 million in funding to providers who implement innovative projects designed to improve home and community-based services (HCBS). The performance-improvement funding will go toward 27 projects in 39 Minnesota counties, and will allow providers of services to aging Minnesotans, people with disabilities and the deaf to […]

New Online Roadmap Addresses Elder Abuse

A new online resource aims to tackle challenges to elder abuse prevention and prosecution. Elder abuse is an emerging health, justice, financial and social crisis, says The Department of Justice (DOJ). One in 10 Americans over the age of 60 has experienced elder abuse or neglect, and people with dementia are at higher risk for abuse, […]

90% of IL Hospice Employees Fail to Meet State Standards

Recently published findings from an audit of Medicaid and Medicare hospice providers found that 90% of those randomly sampled did not meet state hospice licensure requirements related to hospice workers. The Department of Health and Human Services Office of Inspector General conducted an audit to determine whether the Centers for Medicare & Medicaid Services’ (CMS) reliance […]

Senate OKs Burwell As New HHS Secretary

Sylvia Burwell will serve as secretary of the Department of Health and Human Services (HHS) after a bipartisan majority of Senators voted 78-17 Thursday in favor of President Obama’s nomination, the White House announced.  Burwell replaces Kathleen Sebelius as the second Cabinet official to oversee the Affordable Care Act, also known as ObamaCare. Sebelius resigned […]

HHS to Spend $840 Million to Improve Healthcare System

A dozen prospective states and projects have been named to receive a combined amount of $840 million under new programs intended to improve the healthcare system. The Department of Health and Human Services (HHS) made up to $730 million available as part of the State Innovation Model initiative to help states design and test improvements […]

Medicare Fraud Sweep Nets $223 Million, 89 Arrests for False Billings

A nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in 89 arrests for alleged participation in Medicare fraud schemes involving $223 million in false billing, the Department of Health and Human Services (HHS) announced Wednesday. The cumulative arrests represented the sixth national Medicare fraud takedown in the Strike Force’s history, […]