Category Archives: NEWS

Healthcare Compliance News

Walgreens Clinical Pharmacy Manager Pleads Guilty to Fraud Scheme

On Oct. 25, 2016, Amber Reilly, 33, of Jonesborough, Tenn., pleaded guilty to one count of healthcare fraud contained in a federal information, before the Honorable J. Ronnie Greer, U.S. District Judge.  Reilly was the former Clinical Pharmacy Manager at … Continue reading

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Whistleblowing Staffer Claims Hospital Center Dangerously Understaffed

A senior staffer with knowledge of the Intensive Care Unit and Trauma Center at the Prince George’s Hospital Center claimed severe understaffing is endangering patients’ lives while hospital operator Dimensions Healthcare has done little to solve the problem. “Signs and … Continue reading

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Lifecare Settles Whistleblower Lawsuit for $145 Million

Life Care Centers of America Inc. (Life Care) and its owner, Forrest L. Preston, have agreed to pay $145 million to resolve a government lawsuit alleging that Life Care violated the False Claims Act by knowingly causing skilled nursing facilities … Continue reading

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Treating The Patient vs. The Healthcare System

The Physicians Foundation recently released its findings from this year’s biennial physician survey.  What surprised us the most, or should we say amazed us, were the 10,170 physicians who took the additional time to send us commentaries that filled more … Continue reading

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Lawmakers Getting Earful Over Rising Health Care Premiums

The skyrocketing cost of health care premiums is suddenly center stage in Campaign 2016. State lawmakers are calling for a Special Session to fix what they say are catastrophic premium hikes. But now, political experts say the rate hike crisis … Continue reading

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3 Truths About the 2017 ACA Marketplace

HHS confirmed an average 25% increase for next year’s benchmark ACA plan premiums. It was Christmas in October this Monday for health insurance wonks. Earlier in the day, HHS opened the blinds for individuals to preview and window-shop premium prices … Continue reading

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OCR Announces HIPAA Settlement and New Initiative for Smaller Breaches

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently settled with Advocate Health Care Network (Advocate), one of the largest health systems in the country.  Advocate agreed to pay $5.55 million and implement corrective actions … Continue reading

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OCR Announces HIPAA Settlement and New FAQ on Business Associate Agreements.

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently announced a settlement involving the failure to review and update a business associate agreement (BAA) under the Health Insurance Portability and Accountability Act (HIPAA).  Care New … Continue reading

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Cancer Moonshot Touts Early Achievements

Dive Brief: The White House released its first report on its cancer moonshot initiative, showing progress on a number of fronts. Nineteen projects are already underway in the first year of the initiative, with another 27 planned for year two … Continue reading

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Medicare Wastes Billions on Defective Medical Devices, Audit Finds

Medicare’s fiscal watchdog has documented $1.5 billion in spending on seven types of defective heart devices that doctors implanted in thousands of beneficiaries. In addition to the money Medicare paid to health care providers for services and procedures related to … Continue reading

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