Jane Antonio

Jane Antonio

<p>Jane Antonio is the editor of <a href="http://www.fiercehealthpayer.com/antifraud/&quot; target="_blank"><em>FierceHealthPayer: AntiFraud</em></a>. She joined the&nbsp;<em>FierceHealthPayer </em>team after a 27-year career in health insurance, where her&nbsp;most recent role was director of corporate compliance and ethics. Jane&nbsp;worked closely with Special Investigations Units designing and delivering&nbsp;employee anti-fraud training. This followed years of investigating Medicare&nbsp;fraud, waste and abuse cases and recovering program overpayments. Jane holds&nbsp;an M.A. in substance abuse counseling from Rhode Island College and a B.A.&nbsp;in English from Stonehill College in Easton, Mass. She enjoys reading and&nbsp;long outdoor walks. Contact Jane at <a href="mailto:[email protected]"><strong>[email protected]</… />
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Stories by Jane Antonio

CMS invites states to change ACA benchmark plans for 2017

The federal government is letting states choose a differentessential health benefitsbenchmark plan for 2017, and this news may re-ignite public debate about what types of services health insurance should cover in plans sold pursuant to the Affordable Care Act,LifeHealthPROreported.

False Claims Act enforcement continues in high gear

The federal government obtained $5.69 billion in settlements and judgments from civil cases involving false claims and fraud this year, and about 40 percent of that total involved healthcare programs, former HHS Inspector General Richard Kusserow reported.