The Daily Scan

June 7, 2018

Last Updated: 9:00 AM EST

Legislation

  • Yesterday President Trump signed S. 2372, the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018, or the VA MISSION Act of 2018. The VA MISSION Act provides $5.2 billion in mandatory funding for the Veterans Choice program until a new consolidated program is implemented, which provides veterans with flexibility to receive care at both Department of Veterans Affairs (VA) and private health facilities. (WhiteHouse.gov)

Litigation

  • The Justice Department announced yesterday that Allegiance Health Management, Inc., (Allegiance), a post-acute healthcare management company based in Shreveport, Louisiana, and four hospitals owned and operated by Allegiance (collectively, the Allegiance Defendants), have agreed to pay more than $1.7 million to resolve False Claims Act allegations that the Allegiance Defendants submitted, and caused other hospitals to submit, claims for reimbursement from Medicare for services that were not medically reasonable or necessary. (Justice.gov)

 

  • A CEO and four physicians were charged yesterday in a superseding indictment as part of an investigation into a $200 million health care fraud scheme that involved a network of Michigan and Ohio pain clinics, laboratories and other medical providers.  The superseding indictment returned yesterday charges an additional wire fraud conspiracy, adds an additional count of money laundering, and contains new allegations regarding the distribution of over 4.2 million medically unnecessary dosage units of controlled substances and the administration of medically unnecessary injections that resulted in patient harm. (Justice.gov)

Medicaid

  • Because previous reviews have identified Medicaid personal care services in New York as vulnerable to waste, fraud, and abuse, the OIG decided to review New York’s consumer-directed personal assistance program (CDPAP) services, which include personal care, home health, and nursing services. Based on the results of the report released yesterday, the OIG recommends that New York refund $74.8 million to the Federal Government, in addition to reinforcing guidance related to CDPAP documentation and billing requirements and improving its monitoring of the CDPAP to ensure compliance with CDPAP requirements. (OIG.HHS.gov)

Private Sector

  • On Monday, Apple delivered a Health Records API for developers and researchers to create an ecosystem of apps that use health record data to better manage medications, nutrition plans, diagnosed diseases and more. The Health Records feature allows patients of more than 500 hospitals and clinics to access medical information from various institutions organized into one view on their iPhone. For the first time, consumers will be able to share medical records from multiple hospitals with their favorite trusted apps, helping them improve their overall health. (Apple.com)

International

  • The World Health Organization (WHO) announced yesterday that on June 4, an ethics committee in the Democratic Republic of the Congo (DRC) approved the use of five investigational therapeutics to treat Ebola, under the framework of compassionate use/expanded access. This is the first time such treatments are available in the midst of an Ebola outbreak. (WHO.int)

 

 

 

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