States Increase Medicaid Anti-Fraud Efforts

Apr 24, 2014 By: Lauren Jones

The Affordable Care Act offers states, including states that will not expand Medicaid, new authority to improve their anti-fraud, waste, and abuse measures.

Healthcare Disparities

Jun 18, 2012 By: Melissa Berry

As we wait for the Supreme Court to rule on the constitutionality of the ACA, we should consider the healthcare disparities that result from our current system of healthcare.

Dr. SCOTUS: Overturning Medicaid expansion could turn laws on their head

Jun 6, 2012 By: Jeremy Byellin

A Supreme Court ruling invalidating the Affordable Care Act’s Medicaid expansion could turn Spending Clause jurisprudence on its head.

Mandatory Compliance Programs: Coming Soon to a Provider Near You

May 3, 2012 By: Melissa Berry

Under the PPACA, compliance programs that were once voluntary will become mandatory for Medicare and Medicaid providers.

Oral arguments and updated health care law predictions

Mar 29, 2012 By: Jeremy Byellin

Based on oral arguments before the Supreme Court earlier this week, I have revised my predictions on how SCOTUS will rule on the health care law. The results remain the same, though.

Insurers profit under the ACA

Feb 2, 2012 By: Melissa Berry

Despite the Affordable Care Act being labelled as bad for business, there is one industry segment that has definitely profited under the ACA – health insurers.

The Cost of Medicaid Expansion Under the ACA

Jan 19, 2012 By: Melissa Berry

The states’ challenge to the ACA Medicaid expansion is motivated by the increasing costs the program will impose on state budgets. The challenge will still likely fail.

Painful Pills

Jan 5, 2012 By: Melissa Berry

The increased use of legal narcotics has resulted in more overdose deaths and increased Medicare and Medicaid fraud.

Proposing Sunshine for Pharma

Dec 19, 2011 By: Melissa Berry

CMS has finally issued its proposed rule to require manufacturers of drugs, devices, biologicals, or medical supplies to report payments of $10 or more made to physicians or teaching hospitals.

Using Predictive Modeling to Prevent Healthcare Fraud

Dec 1, 2011 By: Melissa Berry

In my last post, I discussed a few of the changes federal and state governments have made in their ongoing efforts to

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