Novartis sued over alleged kickback scheme
Novartis Pharmaceuticals Corp. paid kickbacks to a specialty pharmacy in exchange for recommending refills of a blood transfusion drug it produces, according to an amended complaint filed Wednesday in a …
NC encourages health care navigators at county health sites
North Carolina health officials have cleared local social service agencies to help the public shop for subsidized insurance under the Affordable Care Act. The local health departments are bracing for …
Beaver County woman accused of duping Medicare for $200K
A Beaver County woman forged signatures of doctors and other medical providers to bilk Medicare out of $200,000 in reimbursements, federal prosecutors said. A federal grand jury on Tuesday indicted …
Affordable Care Act providing potential targets for Scammers
Enrollment begins for a national health insurance program in two weeks, and Wisconsin officials are already bracing for what could be an unprecedented wave of fraud attempts. The National Consumers …
Pennsylvania proposes alternative to expansion of Medicaid
Pennsylvania Governor Tom Corbett unveiled a plan on Monday to use federal subsidies targeted for an expansion of Medicaid to be used instead to help low-income residents of the state …
CMS issues guidance on survey timing for facilities that change ownership
Surveyors should prevent providers from being able to game the Medicare system through well-timed facility sales and purchases, the Centers for Medicare & Medicaid Services instructed in a recent memorandum. …
GAO Releases Report on CMS Auditors
The Government Accountability Office (GAO) released a report titled “Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency.” GAO undertook the study at Congress’ request because questions have been raised …
With state out of picture, feds push to create Alaska health exchange
With the state forgoing any role in a health insurance marketplace, federal officials and Alaska nonprofits are scrambling to fill the void by Oct. 1. That’s the first day of …