Feds, states turning to predictive analytics to prevent fraud

http://www.fiercehealthpayer.com/antifraud/story/feds-states-turning-predictive-analytics-prevent-fraud/2015-10-19?utm_medium=nl&utm_source=internal

Cystall Ball

OIG: Data helps federal authorities keep pace with evolving fraud schemes

Meaningful use final rules: 3 things you need to know

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/meaningful-use-final-rules-3-things-you-need-know

MU Stage 2&3

MedPAC suggests alternative models for rural hospitals

http://www.fiercehealthfinance.com/story/medpac-suggests-alternative-models-rural-hospitals/2015-10-15?utm_medium=nl&utm_source=internal

Rural Health

Standalone EDs, clinics could work as viable replacements

Home healthcare at the crossroads as market expands

http://www.healthcaredive.com/news/home-healthcare-at-the-crossroads-as-market-expands/407174/

 

One-quarter of seniors have healthcare cost concerns

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/one-quarter-seniors-have-healthcare-cost-concerns

Close Up Portrait of Worried Senior Couple

Close Up Portrait of Worried Senior Couple

504 hospitals hit with whistle-blower lawsuit alleging false claims violations

http://www.beckershospitalreview.com/legal-regulatory-issues/504-hospitals-hit-with-whistle-blower-lawsuit-alleging-false-claims-violations.html

Whistleblower

Creating The Next Generation: The Payment Model We Need From Medicare

http://healthaffairs.org/blog/2015/10/05/creating-the-next-generation-the-payment-model-we-need-from-medicare/

Blog_Schleifer_360

HHS directed to re-examine $220 million hospital pay cut

http://www.capitalnewyork.com/article/albany/2015/09/8577544/hhs-directed-re-examine-220-million-hospital-pay-cut

hhs-directed-re-examine-220-million-hospital-pay-cut

A federal judge has ruled that the secretary of health and human services does have the authority to cut Medicare payments for all hospitals, but that she failed to follow the proper procedures for doing so

Post-Acute Care Transformation Taking Hold in SNFs

http://healthleadersmedia.com/page-1/FIN-321096/PostAcute-Care-Transformation-Taking-Hold-in-SNFs

Nursing Home

Payment reform, new regulations, and opportunities to boost quality of care for older patients with comorbidities are revolutionizing skilled nursing facilities.