Oversight, Compliance & Integrity
Expert articles and analysis related to oversight, compliance & integrity.
AI Summary — Last 7 Days
Over the past week, federal oversight and integrity efforts have intensified across value-based care, with major developments in CMS payment models and Medicare Advantage compliance. The new 10-year ACCESS model attracted over 150 applicants despite lower-than-expected payment rates, underscoring strong provider and digital health engagement but raising questions about feasibility under “lean payment” and voluntary participation design (Medical Economics, [Healthcare Finance News](https://news.google.com/rss/articles/CBMiowFBVV95cUxOVnh1X2NqX0VfVXVX
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New Federal Focus on Fraud, Waste and Abuse May Signal Changes for the Health Care Industry
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Six St. Louis Area Residents Accused of $8.3 Million Pandemic Fraud - Office of Inspector General (.gov)
Six St. Louis Area Residents Accused of $8.3 Million Pandemic Fraud Office of Inspector General (.gov)
CMS Has Limited Oversight of Selected Compounded Drugs Prescribed to Medicare Part D Enrollees - Office of Inspector General (.gov)
CMS Has Limited Oversight of Selected Compounded Drugs Prescribed to Medicare Part D Enrollees Office of Inspector General (.gov)
Attorney General Raúl Torrez Announces $6.6 Million Restitution for Mother-Daughter Duo Leading Afterschool Program Medicaid Fraud and Child Identity Theft Scheme - Office of Inspector General (.gov)
Attorney General Raúl Torrez Announces $6.6 Million Restitution for Mother-Daughter Duo Leading Afterschool Program Medicaid Fraud and Child Identity Theft Scheme Office of Inspector General (.gov)
Nine Medicaid Providers Facing Fraud, Theft Charges - Office of Inspector General (.gov)
Nine Medicaid Providers Facing Fraud, Theft Charges Office of Inspector General (.gov)
Former Teacher Pleads Guilty in $51 Million Medicare Fraud Scheme in National Fraud Enforcement Division Prosecution - Office of Inspector General (.gov)
Former Teacher Pleads Guilty in $51 Million Medicare Fraud Scheme in National Fraud Enforcement Division Prosecution Office of Inspector General (.gov)
DOJ Announces More Details About the National Fraud Enforcement Division
Clayton Chiropractor Sentenced to 100 Months in Prison - Office of Inspector General (.gov)
Clayton Chiropractor Sentenced to 100 Months in Prison Office of Inspector General (.gov)
United States Sues Illinois Doctor for Fraudulent Billing in Durable Medical Equipment Scheme - Office of Inspector General (.gov)
United States Sues Illinois Doctor for Fraudulent Billing in Durable Medical Equipment Scheme Office of Inspector General (.gov)