Welcome to another edition of our weekly roundup, where we dive into the most pressing legal, regulatory, and policy updates that are shaping the healthcare and medicine landscape. This information is also available on our podcast on Spotify.
Here are this week’s top stories:
Besse Medical Settles Anti-Kickback and False Claims Allegations
Besse Medical has agreed to a settlement of $1.67 million to resolve allegations of violating anti-kickback statutes and the False Claims Act. This case underscores the ongoing scrutiny of kickback arrangements in the healthcare industry and serves as a cautionary tale for similar providers. Read more here.
Accountable Care Organizations (ACOs) Boost MSSP Savings
ACOs participating in the Medicare Shared Savings Program (MSSP) have achieved the largest annual savings in the program’s history. This marks a significant milestone, demonstrating the potential of ACOs to enhance care efficiency and reduce costs within the Medicare system. Full details.
Q3 Roundup on False Claims Act
Our third-quarter roundup provides a comprehensive overview of the latest developments under the False Claims Act. With numerous cases impacting the healthcare sector, staying informed on these trends is crucial for compliance officers and healthcare professionals. Explore the roundup.
Insurers Challenge Decrease in MA Star Ratings
Following a notable decrease in Medicare Advantage (MA) star ratings, several insurers have initiated legal actions. These lawsuits could have significant implications for the MA program and the insurers’ future in the market. Learn more about the lawsuits.
CMS Prepares for Second Round of Drug Price Negotiations
The Centers for Medicare & Medicaid Services (CMS) is gearing up for another round of drug price negotiations, aiming to further lower the costs of critical medications for Medicare beneficiaries. Details on the negotiations.
Dismissal of a Major False Claims Act Case
A significant False Claims Act case was dismissed following the impactful Loper-Bright ruling, highlighting the evolving legal landscape and its implications for healthcare providers and compliance strategies. Read the full story.
CMS Releases 2025 Physician Fee Schedule
The latest physician fee schedule released by CMS for the calendar year 2025 outlines new payment policies and rates, which are vital for healthcare providers to understand and integrate into their billing and compliance strategies. See the updates.
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Stay informed and ahead of the curve with these updates. For more in-depth analysis and ongoing coverage, keep visiting PolicyMed.com.