investigations news from FierceHealthcare
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Senators investigate hospital group purchasing organizations
Right now, about $60 billion worth of hospital supplies are bought by hospital group purchasing organizations. These organizations, known as GPOs, get their expenses from vendors who sell to them,... Read more...
Schwarzenegger vows tougher regulation of misconduct among health pros
Admitting that the state's system has been prone to long-standing delays, California Gov. Arnold Schwarzenegger has vowed to reform professional disciplinary systems to keep better watch over medical... Read more...
White House reform director served on boards w/questionable behavior
White House health reform director Nancy-Ann DeParle is in a tight spot. A new investigative report has concluded that DeParle earned more than $6 million serving on the boards of major healthcare... Read more...
Big bad Medicare audits, or, being put on the RAC
By this point, pretty much everyone in the industry is aware that Medicare is stepping up the Recovery Audit Contractor program, under which contractors visit with providers and do a deep, hard audit... Read more...
DC sues area Blue plan, demands it donate millions to community
The government of Washington, DC, has launched a two-pronged attack on the region's largest health plan, filing a suit alleging that the non-profit plan must donate millions to the community, while... Read more...
FL hospital staffers charged with $7M kickback scheme
A group of former employees of a Miami-based hospital have been charged with conspiracy to commit wire fraud, accused of involving the hospital in a kickback scheme with a medical supply company that... Read more...
FL system settles federal claim over MD overpayments
Baptist Health South Florida has agreed to pay the federal government $7.75 million to settle allegations that it paid an oncology group excessive compensation to generate referrals for two of its... Read more...
FTC works to stop VA hospital merger
The FTC, along with Virginia's attorney general, have announced that they plan to step in to block the planned the planned merger between a Virginia hospital chain and one of its current rivals.... Read more...
Report: Antifraud compliance getting tougher for hospitals
A new report from the Deloitte Forensic Center argues that it's getting increasingly difficult for hospitals to comply with state and federal anti-fraud rules given the surge in new anti-fraud... Read more...
CA regulators begin broad review of policy cancellations
In a move that could cost health insurers untold dollars, and possibly change the dynamics of the individual coverage market, the California Department of Managed Health Care has begun reviewing... Read more...
