Payment Integrity
Expert articles and analysis related to payment integrity.
AI Summary — Last 24 Hours
In the past 24 hours, CMS has intensified its focus on payment integrity amidst growing concerns regarding the influence of private equity in healthcare. Recent analysis indicates that private equity-owned dental offices have raised service charges by 3.3% post-acquisition, while the quality of care appears to be impacted as these practices shift away from diagnostic and preventive services, which may undermine value-based care efforts. As CMS implements policies to ensure accountability in billing practices, stakeholders must navigate these changes to maintain both quality care and financial sustainability in their operations. For a deeper understanding, see the impact of private equity on dentists highlighted in recent research.
Related Articles
6 Texas physicians to pay $5M to settle false claims allegations
Six South Texas physicians and their practices agreed to pay $4.9 million to resolve allegations they submitted false claims to Medicare, Medicaid and TriCare for services that were not rendered or no...
Balancing Policy, Safety, and Digital Care in Medication Use: Jody L. Green, PhD
Opinion: CMS shouldn’t be paying for higher-than-necessary doses of cancer drugs
In cancer treatment, higher doses with worse side effects often don’t lead to better outcomes.
Impact of Private Equity on Dentists
From a recent paper by Nasseh et al. 2026 in Health Services Research: Following acquisition, private equity-owned dental offices increased charges for dental care services by 3.3% (95% CI: 2.3%–4.4%)...