Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts
Monday, July 14, 2025

The Administration's Three-Pronged Assault on Health Care

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I wish I could offer a link to an outstanding article in the current NY Review of Books  entitled "The Dismantling of American Health ...
Thursday, November 14, 2024

Health Affairs: "The Impact Of The Election On Health Policy And The Courts"

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The nonpartisan and highly respected journal, Health Affairs , today posted an analysis of some of the more conspicuous (and worrying) chan...
Tuesday, November 05, 2024

SCOTUS Oral Argument Today

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Just a quick addendum to my Friday listing of healthcare-related cases on the current SCOTUS docket. This morning the Justices heard oral ...
Thursday, October 17, 2024

Health Care Fraud: Texas Style

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On Oct. 15 a federal jury in Houston convicted  the owner of a firm that operated 14 pharmacies, on fifteen counts including conspiracy to c...
Tuesday, October 01, 2024

Health Care Policy and the 2024 Election

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The presidential campaign hasn't been much about health law, and up to two-thirds of adults are concerned about the lack of discussion ....
Friday, July 19, 2024

SCOTUS and Health Agencies (Part 2)

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The totally excellent health-policy journal, Health Affairs , posted an analysis of the likely impact of the death of the Chevron  doctrine...
Friday, June 28, 2024

Texas Medical Center Hospitals & Surgery Group Paid $15 Million to Settle Concurrent Surgery Violations

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Press release from the U.S. Attorney's Office for the Southern District (June 24): Baylor St. Luke’s Medical Center (BSLMC), Baylor Col...
Tuesday, April 30, 2024

Pharma Loses "Takings" Argument in NJ District Court

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UPDATE to previous posts ( here and here ) on the Medicare Drug Price Negotiation Program in the Inflation Reduction Act. As reported by Bi...
Saturday, April 27, 2024

Negotiating with Big Pharma Over Drug Prices for Medicare

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You really can't blame Big Pharma for hating the new federal law that authorizes the Medicare program (for the first time in its 59-year...
Thursday, March 21, 2024

$100 Million Medicare Fraud => 9-Year Sentence

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Defendant Andrew Chmiel got a one-way ticket to federal prison for 9 years following his conviction for Medicare fraud, courtesy of the U.S....
Friday, March 08, 2024

Biden's State of the Union Address: 13 Health Care Take-aways

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Becker's Hospital Review takes a look at "13 healthcare takeaways" from President Biden's State of the Union address las...
Friday, February 02, 2024

One Guy, $234 Million Medicare Fraud Scheme

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  With a name that could be right out of Dickens novel, Imran Shams puts most other health care fraudster to shame. What he lacks in imagina...
Wednesday, January 03, 2024

Physician Acquitted in $15M Healthcare Fraud Prosecution

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A federal jury in Maryland convicted the physician on five counts of healthcare fraud in connection with his billing practices for level 4 C...
Sunday, December 17, 2023

Medicare Cognitive Assessments: Yet Another Example of Mental Health's Second-Class Status

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A new GAO report -- "Medicare Cognitive Assessments: Utilization Tripled between 2018 and 2022, but Challenges Remain"  (Dec. 11) ...
Thursday, December 07, 2023

What Is a Hospital to Do When a Patient Refuses a Discharge?

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Here's the scenario: A patient is admitted to the hospital for treatment. Treatment goes well, and the patient can safely be discharged ...
Sunday, October 01, 2023

Chamber of Commerce Is Denied an Injunction to Halt Medicare Drug Price Negotiations

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Happy to do the bidding of Big Pharma, the US Chamber of Commerce sued the Biden Administration to stop the Drug Price Negotiation Program c...
Saturday, July 29, 2023

Provider Screws Up its Bill to Medicare, Tries to Stick Patient with 100% of Charge

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Today's featured Surprise Bill of the Month ( KFF Health News , NPR (July 27, 2023)) involves a 74-year-old gentleman who needed vascul...
Friday, July 28, 2023

Pharmaceutical Firms Seek to Block Price Negotiations with Medicare

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The New York Times has an excellent piece (23/24 July) on the drug industry's efforts to derail drug-pricing negotiations with Medicar...
Friday, June 23, 2023

Reducing mortality rates in hospitals: Good. Tying reductions to executive comp: Bad

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Becker's Healthcare  reports ( June 21, 2023 ) that clinicians at various HCA facilities are pressured to refer patients to palliative c...
Wednesday, November 24, 2021

Billions (and Chevron?) at Stake in SCOTUS's Medicaid Case

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It's a health-law-heavy docket this year over at SCOTUS. Next up for oral argument (Nov. 29) is  Becerra v. Empire Health Foundation (N...