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Bloomberg Government is a premium, subscription-based service that provides comprehensive information and analytics for professionals who interact with—or are affected by—the government. BGOV Delivers rich data, sophisticated tools and breaking news alongside original, in-depth analysis.
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News
Nursing Facility Escapes Medicare Fraud Suit Again on Appeal
3+ week, 6+ day ago (121+ words) Bloomberg Government News A federal appeals court Monday upheld the dismissal of a lawsuit accusing an Illinois nursing facility and related pharmacy of violating the False Claims Act by billing Medicare for improperly prescribed pain medication. The three-judge panel for…...
Senate Democrats Attempt to Block Medicare AI, Prior Auth Model
1+ mon, 4+ week ago (77+ words) Bloomberg Government News Senate Democrats attempted to stop a Trump administration experiment allowing prior authorization to be implemented in traditional Medicare using artificial intelligence on Thursday. “Now decisions between doctors and patients are overridden by for-profit AI contractors,” said Sen....
BGOV Bill Analysis: H.R. 5347, Accountable Care Group Metrics
2+ mon, 2+ week ago (78+ words) Bloomberg Government News Accountable care organizations would maintain flexibility in how they can report quality metrics through 2029 under H.R. 5347. ACOs participating in the Medicare Shared Savings Program can share in savings they generate for Medicare if they comply with various requirements,…...
GOP Lawmakers Cast Wary Eye at Medicare Advantage Overpayments
5+ mon, 4+ week ago (58+ words) Bloomberg Government News Lawmakers and the administration are stepping up scrutiny of overpayments in Medicare Advantage plans in a sign that Republicans increasingly could be willing to crack down on how much insurers are reimbursed for seniors’ health care. Learn…...