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June 23, 2011

Today’s issue is brought to you by AIS's Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

Today's Featured Story

Arkansas Hospital Settles Fraud Case After Employees Submitted False Invoices
Reprinted from Report on Medicare Compliance

An Arkansas hospital agreed to pay $233,000 to settle allegations that it falsified invoices for a pain management drug, according to its civil monetary penalty (CMP) settlement with the HHS Office of Inspector General .... Read Full Story


From the AIS Blogs

Health Reform, British Style

Even as Americans continue to argue about whether accountable care organizations will yield expected savings and whether the reform law does enough to improve quality and control rising costs, a remarkably similar debate is playing out across the pond .... Read more


Quote of the Day

“Making our health care system more transparent promotes competition and drives costs down.”

— CMS Administrator Donald Berwick, M.D., commenting on CMS’s recent proposed regulations that would allow certain organizations to access patient-protected Medicare data and produce public reports on physicians, hospitals and other providers.

Click here to read the AIS's HEALTH REFORM WEEK article in which this quote appeared. (Free for HRW subscribers; $17 for non-subscribers).


Today's Datapoint

4 million … or more uninsured Americans would qualify for the new Pre-Existing Condition Insurance Plans created by the health reform law, according to a recent Congressional Budget Office estimate.

Click here to read the HEALTH PLAN WEEK article in which this datapoint appeared. (Free for HPW subscribers; $17 for non-subscribers).


FierceHealthcare News from our partner FierceMarkets

ACO buzz kill: Micromanagement, bureaucracy

Despite efforts to cut costs and improve care through coordinated teams of providers and organizations, accountable care organizations (ACOs) are filled with bureaucracy and micromanagment, according to an editorial published in The Wall Street Journal ... Read more


Today from Washington

People on the Move

WellPoint, Inc. named Krishnan Sastry vice president, product management for its commercial business. Sastry was executive vice president of strategic product development at Carewise Health....The Alliance for Home Health Quality and Innovation appointed Teresa Lee executive director. Lee was senior vice president at the Advanced Medical Technology Assn.


Today's Featured Health Business Job Opening

Health Plan
Manager, Quality Management
Ft. Lauderdale, Fla.

Place Your Ad Here

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Commercial ACO Results and Strategies: A Case Study in Three-Way Risk Sharing
Thursday, June 30, 2011

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Thursday, July 7, 2011

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Health Plans vs. Drug Coupons: Tactics to Combat Brand-Name Drug Promotions
Wednesday, July 13, 2011

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Thursday, July 14, 2011

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