FTC Seeks Public Comments in Advance of Health Care Competition Workshop

The Federal Trade Commission and the Antitrust Division of the Department of Justice will co-host a second workshop in the series “Examining Health Care Competition” on February 24-25, 2015, in Washington, D.C. The workshop will look at recent developments related to health care provider organization and …

[Read more...]

$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 …

[Read more...]

CMS Refuses to Count Family Practice Residents Who Train in Family Practice Settings

Last Friday Eastern Maine Medical Center sued Health & Human Services over the way CMS counted the number of residents in its graduate medical education program.  According to the complaint, CMS refuses to count some of the hospital’s family practice residents. Guess why. Because their training occurred …

[Read more...]

CMS Charges $13 Million Late Payment Fee on $1 Million Medicaid Overpayment

New York City’s Mt. Sinai Hospital refunded a one million dollar Medicaid overpayment. CMS said thanks for the repayment, but you still owe us a late payment fee: $13 million. To add insult to injury, the overpayments were inadvertent—the result of electronic coding errors on about 900 Medicaid claims. On …

[Read more...]

Dark Clouds Over Sunshine Act

Once again the Obama administration has been tripped up in launching a healthcare-related online system.  This time the problem concerns the Physician Payments Sunshine Act—the act that is supposed to enable the public to see whether a physician has a financial relationship with a drug or device manufacturer.  …

[Read more...]

CMS WANTS TO SHINE LIGHT ON CME PAYMENTS TO PHYSICIANS

Should drug and device manufacturers be required to report payments to physicians who speak at CME (continuing medical education) programs? It’s a question CMS has been wrestling with since the enactment of the Sunshine Act (sometimes called the Open Payments Program) as part of the Affordable Care Act.  The …

[Read more...]