Category Archives: Department of Health & Human Services

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False Press Release Leads To Exclusion From Federal Programs

By Robert Rose  Dr. Harkonen was the CEO of InterMune, Inc, a pharmaceutical company that developed, marketed and sold drugs for lung and liver diseases, including Actimmune. In 2002, the FDA had approved Actimmune to treat only two conditions: chronic granulomatous disease and severe malignant osteopetrosis. A year before the approval, an Austrian clinical trial … Continue Reading

Switching to Electronic Medical Records May Not Be a Cure for Billing Abuses

By Robert Rose Last month, in a joint letter by HHS and DOJ to five prominent hospital associations, the government warned that some providers are using electronic medical records (EMR) to “game the system.” The September 24th letter gave examples of “troubling indications” of EMR misuse: Cutting and pasting the same examination findings for multiple … Continue Reading

Dual Eligibles Coordinated Care Demonstration postponed to July 2013

By Ken Yood The California Department of Health Care Services recently announced that it will start its Dual Eligibles Coordinated Care Demonstration in June 2013 instead of January. The Dual Eligibles Coordinate Care Demonstration is expected to lead to the enrollment of up to 560,000 of California’s dual-eligible Medicare-Medicaid patients into managed care plans designed … Continue Reading

OIG Releases Fiscal Year 2011 Work Plan

By Ken Yood and Lynsey Mitchel The mission of the Office of the Inspector General ("OIG") is to protect the integrity of the programs and operations of the Department of Health & Human Services, for example Medicare, by detecting and preventing waste, fraud and abuse, and identifying opportunities to improve program economy, efficiency and effectiveness. The Work … Continue Reading
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