Health Law & Policy

Thomas W. Brewer, Ph.D., M.Jur., CHC

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Federal False Claims Act Recoveries Are the Third Highest in History | The Health Law Sidebar

1 May
Tom Brewer
The United States Department of Justice (“DOJ”) reported that it obtained over $4.7 billion in civil settlements and judgments involving federal False Claims Act fraud and abuse claims against the … Source: Federal False Claims Act Recoveries Are the Third ... Read more »

Compliance compliance, cost, false claims

Compliance | Office of Inspector General | U.S. Department of Health and Human Services

25 Mar
Tom Brewer
Source: Compliance | Office of Inspector General | U.S. Department of Health and Human ... Read more »

All compliance

CMS delays expansion of bundled payment programs – Modern Healthcare

21 Mar
Tom Brewer
For now, it’s a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018. Source: CMS delays expansion of bundled payment programs – Modern ... Read more »

Compliance, Law, Policy aca, cost, medicare

UnitedHealth sued by U.S. government over Medicare charges | Reuters

21 Feb
Tom Brewer
Source: UnitedHealth sued by U.S. government over Medicare charges | ... Read more »

Compliance compliance, medicare, Qui Tam

Santa Fe cardiologist admits health care, wire fraud | Albuquerque Journal

20 Feb
Tom Brewer
Doctor faces two years in federal prison, followed by supervised release Source: Santa Fe cardiologist admits health care, wire fraud | Albuquerque ... Read more »

Compliance, Law compliance, false claims, medicare

Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of Justice

10 Feb
Tom Brewer
Source: Delaware County Podiatrist Sentenced to 8 Years in Prison for Health Care Fraud | USAO-EDPA | Department of ... Read more »

Compliance compliance, false claims, medicaid, medicare

How to Build an Effective Compliance Program (Without Breaking the Bank) [Presentation]

16 Jul
Tom Brewer
In this presentation from the 2014 Clinical Practice Compliance Conference, Brigid Maloney walks us through nine steps to develop an effective compliance program without breaking the bank. She includes best practices for essential steps like how to identify an appropriate ... Read more »

Compliance compliance, cost

Questions that Leadership Should Ask the Compliance Officer

5 Jul
Tom Brewer
By Roy Snell roy.snell@corporatecompliance.org Below are some questions leadership should ask the compliance officer and a suggestion about how to implement these questions in your organization.  You need to collaborate with leadership to pick a subset of the questions to ... Read more »

Compliance compliance

The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review | The Henry J. Kaiser Family Foundation

21 Jun
Tom Brewer
Research on the effects of Medicaid expansions under the Affordable Care Act (ACA) can help increase understanding of how the ACA has impacted coverage; access to care, utilization, and health outcomes; and various economic outcomes, including state budgets, the payer ... Read more »

Policy aca, expansion, medicaid

Rx Pizza: 1 Free Meal Can Sway Doctor Prescribing – The New York Times

21 Jun
Tom Brewer
As little as one free meal from a drug company can influence which medicines doctors prescribe for Medicare patients, according to a study using Medicare records and recently released data from the health care law’s Open Payments program. Source: Rx ... Read more »

Compliance anti-kickback, compliance, cost

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RSS Kaiser Health News-Law

  • The Ranks of Obamacare ‘Fixers’ Axed in Trump’s Reduction of Health Agency Workforce
    These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve people’s coverage issues. They worked in a little-known federal department with which most consumers never interact — until they need help.
  • What To Know About Trump’s Executive Orders on US Health Care 
    From rolling back drug pricing policies to limiting gender-affirming care, President Donald Trump signed several health-related executive orders in the first hours of his second presidency. Here’s a roundup of the changes and what they mean.
  • Juez bloquea en 19 estados la norma que permite a Dreamers inscribirse en planes de salud de ACA
    Además de Kansas y Dakota del Norte, los estados que se unieron a la demanda son Alabama, Arkansas, Florida, Idaho, Indiana, Iowa, Kentucky, Missouri, Montana, Nebraska, New Hampshire, Ohio, Carolina del Sur, Dakota del Sur, Tennessee, Texas y Virginia.
  • Federal Judge Halts Dreamers’ Brand-New Access to ACA Enrollment in 19 States
    A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
  • Trump Doesn’t Need Congress To Make Abortion Effectively Unavailable
    President-elect Donald Trump vowed on the campaign trail not to sign a nationwide abortion ban. But he wouldn’t need to do so to make abortion difficult, or illegal, writes KFF Health News’ chief Washington correspondent, Julie Rovner.
  • KFF Health News' 'What the Health?': Trump’s Nontraditional Health Picks
    Not only has President-elect Donald Trump chosen prominent vaccine skeptic Robert F. Kennedy Jr. to lead the Department of Health and Human Services, Trump also has said he will nominate controversial TV host Mehmet Oz to run the Centers for Medicare & Medicaid Services, which oversees coverage for nearly half of Americans. Meanwhile, the lame-duck […]
  • KFF Health News' 'What the Health?': Readying for Republican Rule
    With Republicans now set to control the White House, Senate, and House of Representatives starting in January, their health agenda remains unclear. What is clear, however, is that just about anything could be on the table, from Medicare, Medicaid, and the Affordable Care Act, to drug prices and public health. Meanwhile, anti-abortion groups are preparing […]
  • KFF Health News' 'What the Health?': Trump 2.0
    As Donald Trump readies for his return to the White House — with the backing of a GOP majority in the Senate and, possibly, the House — the entire health care industry is waiting to see what happens next. Clearly on the agenda: the future of abortion and reproductive rights, Medicare, Medicaid, the Affordable Care […]
  • What’s at Stake: A Pivotal Election for Six Big Health Issues
    Health care has ebbed and surged as an election issue throughout the presidential campaign. Here are the ways some of the most consequential changes in health policies could hinge on whether Vice President Kamala Harris or former President Donald Trump wins.
  • KFF Health News' 'What the Health?': The Campaign’s Final Days
    It’s the final days of the 2024 campaign, and Republicans are suddenly talking again about making changes to the Affordable Care Act if former President Donald Trump wins. Meanwhile, new reporting uncovers more maternal deaths under state abortion bans — and a case in which a Nevada woman was jailed after a miscarriage. Lauren Weber […]
© 2024 by Thomas W. Brewer