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fraud and abuse

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CMS rings in the new year with overhaul of MSSP ACOs

Posted on January 3, 2019

On December 21, 2018, CMS issued a mammoth 957 page “Pathways to Success” final rule, which overhauls shared savings/losses tracks for Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) to push ACOs into shared risk models more quickly, …

OIG considers new safe harbors and other incentives to promote coordinated care

Photo of Elise LeGros (US)
By Elise LeGros (US) on September 5, 2018

As part of the Health and Human Services Department’s (“HHS”) “Regulatory Sprint to Coordinated Care” efforts aimed at alleviating unnecessary regulatory barriers to coordinated care while protecting against fraud and abuse, the Office of Inspector General (“OIG”) issued a Request…

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Deregulatory wave prompts renewed examination of Stark Law application

Photo of Debbi Johnstone (US)Photo of Sarah Jean Kilker (US)
By Debbi Johnstone (US) & Sarah Jean Kilker (US) on February 2, 2018

In another sign that the Trump administration’s penchant for regulatory flexibility may apply to the federal fraud-and-abuse regulatory regimes, CMS administrator Seema Verma announced during an AHA Town Hall webcast on January 17 that CMS is convening an interagency group…

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