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Tuesday, January 7, 2025

This Week in Policy and Medicine January 5, 2025 - Policy & Medicine

Welcome to another edition of our weekly roundup, where we dive into the most pressing legal, regulatory, and policy updates that are shaping the healthcare and medicine landscape. This information is also available on our podcast on Spotify.

Here are this week’s top stories:

Besse Medical Settles Anti-Kickback and False Claims Allegations

Besse Medical has agreed to a settlement of $1.67 million to resolve allegations of violating anti-kickback statutes and the False Claims Act. This case underscores the ongoing scrutiny of kickback arrangements in the healthcare industry and serves as a cautionary tale for similar providers. Read more here.

Accountable Care Organizations (ACOs) Boost MSSP Savings

ACOs participating in the Medicare Shared Savings Program (MSSP) have achieved the largest annual savings in the program’s history. This marks a significant milestone, demonstrating the potential of ACOs to enhance care efficiency and reduce costs within the Medicare system. Full details.

Q3 Roundup on False Claims Act

Our third-quarter roundup provides a comprehensive overview of the latest developments under the False Claims Act. With numerous cases impacting the healthcare sector, staying informed on these trends is crucial for compliance officers and healthcare professionals. Explore the roundup.

Insurers Challenge Decrease in MA Star Ratings

Following a notable decrease in Medicare Advantage (MA) star ratings, several insurers have initiated legal actions. These lawsuits...



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