The Health and Human Services Office of Inspector General's recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company.
“There are unscrupulous providers out there, and they have much greater reach with telehealth,” said Mike Cohen, an operations officer with the Health and Human Services Inspector General’s Office.
Federal health officials, citing a need to focus on the COVID-19 pandemic, have temporarily halted some efforts to recover hundreds of millions of dollars in overpayments made to Medicare Advantage health plans.
Several states are reporting only positive COVID-19 test results from private labs, a practice that paints a misleading picture of how fast the disease is spreading.
Federal officials on Monday released groundbreaking rules that will let patients download their electronic health records and other health care data onto their smartphones.
Federal officials are proposing new regulations that for the first time could allow patients to compare prices charged by various hospitals and other health care providers using data sent to their smartphones.
As Purdue Pharma faced mounting criticism over deaths linked to OxyContin, rival drugmakers saw a chance to boost sales by stepping up marketing of similarly dangerous painkillers, such as fentanyl, morphine and methadone, Purdue internal documents reveal.
Purdue Pharma left almost nothing to chance in its whirlwind marketing of its new painkiller OxyContin.