One particularly egregious case of Medicaid fraud is sending three former executives to prison, but look for the medical cost ratio to become one key part of managed care spending audits and whistleblower investigations.
Whistleblower reports of secret waiting lists at VA medical centers across the country suggest that a new debate over veterans health reform and investment is on the horizon, along with possible criminal charges for those involved.
Is risk-based the best way to go when it comes to regulating mobile health apps? That's the question on the minds of federal officials as they hosted a workshop on the recently-released FDASIA health IT Report.
Providers are finding the tight-rope between letter of the law and spirit of the law is difficult to walk, especially with the fear of making that one small misstep that will lead to penalties in an audit.
In the states that expanded Medicaid this year, the government and private insurance payments will generate potential revenues of $2.1 billion in 2014 for the centers. But in the states that opted against expanding Medicaid, the centers will lose about $569 million in extra Medicaid funding, a new study has found.