Alaska lawmakers turn their attention toward reducing fraud

Two bills are making their way through the Alaska state Senate with support from lawmakers who say Medicaid fraud is contributing to the state's $4 billion deficit, according to

Legislators take aim at Stark law in light of value-based payment changes

Legislators are asking industry stakeholders for input regarding potential changes to. Stark law in light of the ongoing transition towards value-based payments, according to a report by Bloomberg BNA.

Minnesota audit finds state spent as much as $271M on ineligible beneficiaries

Minnesota overpaid as much as $271 million over a five-month period on ineligible beneficiaries within the state's health insurance exchange program, according to a recently released audit.


Provider groups urge Supreme Court to overturn FCA decision

More than a dozen organizations submitted amicus briefs to the Supreme Court last week, imploring the court to overturn a False Claims Act decision that relies on a broach interpretation of "implied certification," according to case updates on SCOTUSblog.


Former CEO claims he was fired for calling out improper payments

A prominent physician and former CEO of an Oregon health system says he was fired by the governing board last year for suggesting the provider self-report $10 million in improper Medicare claims, according to The Oregonian,


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A new  study  examines the role of specific antibiotics in the development of  Clostridium difficile  infections, a drug-resistant, bacterial "superbug" that now rivals Methicillin-resistant  Staphylococcus aureus  as the most common and severe infection resistant to antibiotics.  


Affordable Care Act marketplace sign-ups for 2016 totaled about 12.7 million people, the federal government announced Thursday, including 9.6 million who enrolled through and 3.1 million through state exchanges.