Government News of the Week
Medicare Compliance, HIPAA, Medicare Advantage and Part D,
Health Care Reform, and Other Federal and State Government Developments

September 29, 2014

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(1) The Government Accountability Office (GAO) on Sept. 22 said the Obama administration has spent around $3.7 billion to implement the health reform law, but does not employ proper accounting methods, especially to track operations of CMS’s Center for Consumer Information & Insurance Oversight (CCIIO) .... (more)

(2) A plan to give discounts to Medigap policyholders who use a “preferred hospital” network is within the HHS Office of Inspector General’s comfort zone .... (more)

(3) Judge Denise Cote of the U.S. District Court for the Southern District of New York on Aug. 18 granted Walgreen Co.’s motion to dismiss an amended complaint filed this year by Fox Rx, Inc., the corporate parent of former Medicare Part D plan sponsor Fox Insurance, Inc., that alleged the drugstore chain submitted false claims for payment to Part D and Medicaid .... (more)

(4) Medicare enrollment increased by 68,000 for the Sept. 1 payment date, reflecting enrollments received through Aug. 8, from the previous month .... (more)

  From Congress and the Federal Agencies

(5) The Centers for Disease Control and Prevention (CDC) said infections of enterovirus D68 have now been recorded in more than half of all states for a total of 175 confirmed cases .... (more)

(6) Continuum Health Partners, Inc., a health system in New York City, on Sept. 22 asked a federal court to dismiss a false claims lawsuit alleging that it kept almost $1 million in Medicaid overpayments for months after learning about them in violation of the 60-day repayment mandate .... (more)

(7) A recent study conducted by the HHS Office of Inspector General (OIG) suggests that the current safeguards being used by pharmaceutical manufacturers to prevent the use of prohibited copayment coupons for Medicare Part D covered drugs may not be sufficient .... (more)

(8) Blue Cross Blue Shield of Georgia, a unit of WellPoint, Inc., is discontinuing its Medicare Advantage plan under the State Health Benefit Plan (SHBP) contract for 2015 .... (more)


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