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Category Archives: Medicaid

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Mental Health Reform Act of 2015 Proposes Overhaul to America’s Mental Health System

Posted in Guest Contributor, Legislation, Medicaid, Medicare
On Tuesday, August 4, Senators Chris Murphy (D-Conn) and Bill Cassidy (R-La) introduced The Mental Health Reform Act of 2015. The bill proposes reforms to Medicare and Medicaid, introduces new grant programs, and enhances the federal government’s commitments to integrating physical and mental health and improving mental health services. According to Murphy, the bill will… Continue Reading

CMS Issues New Proposed Rule to Modernize Managed Care for Medicaid

Posted in Affordable Care Act (ACA), Guest Contributor, Legislation, Medicaid, Regulations
The Centers for Medicare and Medicaid Services (“CMS”) has issued a new proposed rule (the “Proposed Rule”) intended to “modernize Medicaid and the Children’s Health Insurance Program (CHIP) managed care regulations to update the programs’ rules and strengthen the delivery of quality care for beneficiaries.” As CMS continues it mission toward creating better care, smarter… Continue Reading

News from the Health Law Gurus™: Week of May 11th, 2014

Posted in Fraud and Abuse, Medicaid, Medicare, News from the Health Law Gurus
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every Friday for the latest health law news stories. OIG to Expand Its Exclusion Authority under Proposed Rule—In a proposed rule published in the Federal Register last week,… Continue Reading

Seeing Dollar Signs: U.S. Settles with Ophthalmologist for $1.4 Million to Resolve FCA Claims

Posted in False Claims Act, Fraud and Abuse, Medicaid, Medicare
Last week, the United States settled with a Baltimore ophthalmologist for alleged violations of the False Claims Act (“FCA”). Pursuant to the settlement, the ophthalmologist, Dr. John Arthur Kiely, agreed to pay $1.4 million to the government and to be excluded from participation in Medicare and Medicaid for 20 years. Generally, the FCA imposes civil… Continue Reading