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Medicare
CMS Announces Changes to Part D Payment Modernization Model
The Biden administration has walked back a last-minute bid by its predecessor to give Medicare Part D plans the ability to…
AMA Report Finds Medicare Spending Altered by COVID-19
The American Medical Association (AMA) recently published a report, “Changes in Medicare Physician Spending During the COVID-19…
CMS Penalizes 774 Hospitals for High Patient Infection Rates
In early 2021, the Centers for Medicare and Medicaid Services (CMS) penalized 774 hospitals for having high rates of patient…
Coalition Calls for Further Extension of Medicare Sequester Moratorium
On February 2, 2021, America’s Physician Groups (APG) joined the coalition of groups calling for the United States Congress to…
Estimated Improper Medicare Payments Down $15 Billion Since 2016
The Centers for Medicare and Medicaid Services (CMS) recently released data that shows the number of improper payments under…
CMS Releases 2021 MPFS and QPP Updates
Recently, the Centers for Medicare and Medicaid Services (CMS) published the final 2021 updates for the Medicare Physician Fee …
HHS OIG Report Shows Concerns with Medicare Advantage Plans
Earlier this month, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released a report…
DOJ Files Suit Against Cigna Over Medicare Advantage Allegations
In early August 2020, the United States Department of Justice (DOJ) filed suit against Cigna, alleging that Cigna used a primary…
HHS OIG Report Finds Opioid Use Decreasing on Medicare Part D
Earlier this year, the Department of Health and Human Services Office of Inspector General (HHS-OIG) completed a report in which…
Reuters Reports PerkinElmer Under Investigation for Medicare Fraud
According to a May 18, 2020 Reuters article, the medical diagnostic firm PerkinElmer, Inc. is involved in a federal investigation…