The Daily Scan

May 29, 2018

Last Updated: 9:00 AM EST

Litigation

  • A federal jury found a Michigan physician guilty on Friday for her role in a scheme involving approximately $8.9 million in fraudulent Medicare claims for home health care and other physician services that were procured through the payment of kickbacks, were not medically necessary, not actually provided or, in some cases, were provided by the defendant, who was not a licensed physician during the conspiracy. (Justice.gov)

Legislation

  • President Trump is expected to sign the "right to try" bill this week after it passed through Congress last Tuesday. This legislation will allow terminally ill patients to access experimental drugs not yet approved by the FDA. (TheHill.com)

 

  • Democratic Members of Congress in Ohio wrote a letter to Governor John Kasich expressing their concern over requested Medicaid work requirements, arguing that "by basing the exemption on entire counties--instead of cities with high unemployment within the county--the waiver is effectively discriminatory against low-income communities." (Kaptur.House.gov)

 

  • Democrats in the House and Senate have separately introduced resolutions opposing the Trump administration's proposed changes to Title X-funded family planning programs. (TheHill.com: House Resolution, Senate Resolution)

Regulation

  • On Thursday, America’s Physician Groups (APG) highlighted its “Third Option” in response to a RFI issued by the CMS Innovation Center on Direct Provider Contracting models, and underscored the importance this forthcoming model will play in advancing the value movement. The Third Option is an innovative physician-led payment model that would bring risk-based integrated and capitated care to Original Medicare. (CAPG.org)

 

 

 

 

 

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