Social Media Ideas for Health Law Managed Care

FQHCs - The Expanding Landscape of Medicare Billing Outside of PPS for Care Management Services

Summary: Medicare has steadily expanded the services that Federally Qualified Health Centers can bill outside the Prospective Payment System, creating new reimbursement opportunit...

Health Provider News

NATIONAL 41 health systems warn of MyChart ‘Medicare Kit’ scam 5 provisions AAMC, AHA want rewritten in parallel 340B pushes AAHKS: CMS cuts punish joint replacement efficiency DEA...

Complete Health Partners Holdings $14M FCA Settlement: Medicare Advantage Risk-Adjustment Fraud

Complete Health Partners Holdings, a Jacksonville-based management services organization overseeing affiliated provider groups in Florida, Alabama, and Colorado, has agreed to pay...

Health Provider News

NATIONAL CMS Medicaid fraud unit flags 50 providers, $203M in payments CMS’ proposed remote patient monitoring ban, explained D.C. appeals court sides with HHS in 340B drug discoun...

Health Provider News

NATIONAL $50B Rural Health Transformation Program needs more transparency, groups say 5 340B court updates to know CareCloud data breach affects 3.8M patients DOJ steps up crackdow...

More Than a Billing Requirement: CMS Turns Medicare Enrollment into a Program-Integrity Tool

Key Updates CMS has proposed a significant expansion of its Medicare provider enrollment and program-integrity authorities through the Calendar Year 2027 Home Health Prospective P...

ACCESS to Better Care- Things to Know About CMS’s ACCESS Innovation Model

Health Provider News

NATIONAL 8 ASCs to 32 in 8 years: The site-neutral payment math behind this ASC group’s growth 2 operational changes from CMS’ payment rule SNFs need to start today 6 health system...

Health Law Alliance adds ex-state deputy AG to health care audit and investigations teams

Health Law Alliance, a national health care defense firm, announced on Aug. 11 the strategic expansion of its audits and investigations attorney team to better serve providers faci...

Why Should Health Care Providers Adopt Value-Based Care?

Eight-Clinic Primary Care Group Leverages North Carolina's Health Information Exchange to Drive Down Medicare and Medica...

Generations Family Practice posts 2025 Medicare costs about 38% below the statewide average and Medicaid loss ratios roughly 10% below state averages. CARY, N.C., July 29, 2026 /PR...

Compliance Program Lessons from the Complete Health Settlement

On August 4, 2026, the United States Department of Justice (“DOJ”) on behalf of the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services announce...

Health Provider News

NATIONAL 340B purchases reach record $100B: 5 things to know AHA urges court to reject AbbVie bid to change 340B program rules Amazon Pharmacy brings real-time drug pricing to clin...

Health Provider News

NATIONAL Analysis shows U.S. nonprofit hospitals embracing more high-risk investments As digital health M&A grows, 2025 buyers show progress Bad debt, charity care surge contin...

Health Care Rulemakings to Watch in the Trump Administration's Unified Agenda

Wound Care Fraud: Attorney Insights for Providers and Businesses At Risk of Facing Federal Scrutiny

The U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) are targeting healthcare professionals and others suspec...

Client Alert- Centers for Medicare & Medicaid Services Finalize Comprehensive Care for Joint Replacement Expanded, a...

On July 31, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1849-F), which establishes a new, mandatory nationwide bundled payment model for l...

Health Provider News

NATIONAL 9 states, hospitals using Rural Health Transformation funds for remote patient monitoring 5 physician leaders on what comes next in healthcare 5 generations now mingle in...

A Federal Crackdown on Health Care Fraud Is Here: What Providers Need to Know Right Now

Congressional Committees Advance Broad Health Care Legislation Before August Recess

Crushing and Flexing: CMS Proposes to Expand Its Discretion to Deny and Revoke Medicare Enrollment

The Remote Monitoring Reckoning: What CMS’s CY 2027 Proposed Rule Means for Providers and Vendors

Medicare’s reimbursement of remote patient monitoring services, beginning in 2019, offered a meaningful patient care opportunity, paying to give patients devices to measure their h...

OIG: States can improve enforcement of Medicaid MCOs' fraud referrals

As part of the Trump administration's ongoing war on fraud, waste and abuse in healthcare, a new report looks at how states can improve the volume of fraud referrals from managed c...

DOJ’s 2026 Health Care Fraud Takedown Signals Medicaid Enforcement Priorities

The Justice Department’s (DOJ) June 23, 2026, announcement of its annual Health Care Fraud Takedown makes clear that Medicaid and state health care programs have become central to...