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Medicare, Medicaid made $100B in improper payments in 2023

Federal government reports $235.8 billion in improper payments in fiscal year 2023, with Medicare and Medicaid accounting for over $100 billion.

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Louisiana behavioral health system gets 2 'immediate jeopardy' citations in a year

Northlake Behavioral Health System faces loss of Medicare and Medicaid reimbursements after receiving another immediate jeopardy citation for substandard care.

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Oregon hospital system, doctor to pay $430k for fraud allegation settlement

The settlement means neither Asante Health System nor Dr. Charles Carmeci admit guilt in the matter and both parties deny the government’s allegations.

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Ohio hospital has '50-50' chance of surviving, CEO says

Community Memorial Hospital in Hicksville, Ohio, is facing financial challenges and has a

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Lab owner charged in $148M fraud scheme

Brad Schaeffer, co-owner and CEO of a Louisiana diagnostic laboratory, has been indicted for allegedly defrauding Medicare and Medicaid of $148 million.

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TUFTS HEALTH UNIFY TO REBRAND AS TUFTS HEALTH ONE CARE

Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that its Tufts Health Unify product, available to Massachusetts residents ages 21-64 who are dually eligible for Medicare and Medicaid, will change its name to Tufts Health One Care effective January 1, 2024.

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Kaiser Strike Symptom of Healthcare Firms' 'Unholy Alliance' With US Government

Staff at US healthcare giant Kaiser Permanente have walked out in a dispute over pay and contracts. Economist Mark Frost and Dr John Dombroski said problems ran deeper than the immediate grievances.

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Focus on Empowering and Elevating Providers Session

During this session, Partner Jeremy Earl moderated a panel that discussed how value-based care models are delivering care to individuals with complex conditions and those with significant healthcare and social needs. The panel also provided perspectives from executives.

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What is Medicare / Medicaid? - Eligibility - Payment

Medicaid / Medicare are different governmental programs that provide medical and health-related services to specific groups of people in U.S. and managed by Centers for Medicare and Medicaid Services.

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Funding boost for upstate NY hospitals would be second largest in U.S.

Medicare reimbursement for Albany area hospitals would grow by nearly $200 million annually. Other New York hospitals would get a boost too.

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