Goliath Defeats David in Ohio Hospital Suit

It’s a real dog-bites-man story:  Ohio’s eighteen hundred-bed Premier Health System came out on top in its three-year court battle with a 26-bed specialty hospital in Dayton. On Monday the court unsealed its October 20 decision handing Premier summary judgment.  Tiny Medical Center at Elizabeth Park …

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U.S. Accuses NYC of Massive Fraud in Program for Developmentally Challenged Toddlers

It’s the city that never sleeps.  So when it does something, it can do it in a big way.  That applies to Medicaid fraud, according to a suit filed yesterday by the U.S. Attorney for the Southern District of New York. The city also has a tough-as-nails reputation.  So maybe we shouldn’t be too surprised …

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$840 Million Available to Drive Practice Transformation

After a fairly quiet year in terms of new funding announcements, the Center for Medicare and Medicaid Innovation (CMMI) has released an $840 million solicitation that seeks to drive 150,000 clinicians toward delivering value-driven care. Billed the Transforming Clinical Practice Initiative or TCPI, the core of the …

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Counting on Hospice Care? Try to Hang on Until 2017

Yesterday’s Washington Post “Business of Dying” article is a sobering account of how little information is available on the quality—or lack of quality—of hospice organizations.  Almost no information on quality is available to patients and families in need of hospice care.  They’re left to rely on …

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Good News for Guilty Whistleblowers!

Want to be a whistleblower but worried your own wrongdoing will prevent it?  If so, Tuesday’s decision by a federal court in Texas should come as welcome news.  In that long-running False Claims Act case, the court rejected a move by defendant Omnicare to dismiss the case on the grounds of wrongdoing by the …

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Hospital Conversion to For-Profit Status Improves Health (i.e., Financial Health)

For years the debate has raged:  Does conversion of a nonprofit hospital to for-profit status result in a decline in clinical quality?  An improvement?  More efficient operations?  A decrease in the volume of indigent and minority patients? Researchers at Harvard decided to stop wondering and look at the …

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