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True ROI: The Taking of National Medical Enterprises Inc. (NME)

True ROI: The Taking of National Medical Enterprises Inc. (NME)

by Advize Admin | Feb 17, 2023 | OIG Files

“After 11 months of largely sitting alone in his room undergoing what the hospital called “Chair Therapy” (sit and think about your life) he left that hospital a broken teenager.” Return on investment is a calculation that Special...
Congress Told HHS to Set Up a Health Data Network in 2006. The Agency Still Hasn’t.

Congress Told HHS to Set Up a Health Data Network in 2006. The Agency Still Hasn’t.

by Advize Admin | Feb 10, 2023 | Healthcare Facepalm, Technology

In early 2020, as they tried to fight covid-19 across two rural counties in North Carolina, the staff of Granville Vance Public Health was stymied, relying on outdated technology to track a fast-moving pandemic. Lisa Macon Harrison, the agency’s health...

HHS Proposal for Marketplace Plans Carries Hefty Dose of Consumer Caution

by Erik Consorsha | Jan 21, 2022 | Healthcare

Some health insurance brokers in the market are enrolling people into ACA (Affordable Care Act) health care plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The...

Becerra Says Surprise Billing Rules Force Doctors Who Overcharge to Accept Fair Prices

by Erik Consorsha | Dec 3, 2021 | Providers

Overpriced doctors and other medical providers who can’t charge a reasonable rate for their services could be put out of business when new rules against surprise medical bills take effect in January, and that’s a good thing, Health and Human Services Secretary Xavier...

Fraud Spotlight: How Crises Can Impact Fraud Investigations

by Erik Consorsha | Jul 9, 2020 | Compliance, Fraud, FWA, Healthcare

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
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