UPDATE: CMS's ACO REACH savings and evaluation numbers still disagree, LEAD decision pending
Plus: CMS details LEAD Model's capitated payment menu and 10-year risk commitment. The day's rules, money, and enforcement, sourced and tiered below.
Plus: CMS details LEAD Model's capitated payment menu and 10-year risk commitment. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Henderson NV doctor indicted in $95M Medicare wound-care fraud scheme. The day's rules, money, and enforcement, sourced and tiered below.
Plus: American Oncology Network now runs 9 radioligand therapy centers, up from 1 in 2023. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Eli Lilly Q2 revenue hits $23B on Mounjaro, Zepbound growth. The day's rules, money, and enforcement, sourced and tiered below.
Plus: CMS releases autism therapy billing oversight toolkit for states. The day's rules, money, and enforcement, sourced and tiered below.
Plus: CMS makes joint replacement bundled payments mandatory nationwide. The day's rules, money, and enforcement, sourced and tiered below.
Plus: NY ophthalmology practices pay $2.3M in TCD kickback sweep. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Supernus and Indivior merge as equals into $2.2B CNS drugmaker. The day's rules, money, and enforcement, sourced and tiered below.
Plus: HHS freezes $2.76B in Medicaid payments to CA, MN. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Wellstar Health System cuts 761 corporate jobs. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Omnicare's bankruptcy court hearing is 11 days out. The day's rules, money, and enforcement, sourced and tiered below.
Plus: Bristol Myers Squibb beats Q2 estimates, raises guidance again. The day's rules, money, and enforcement, sourced and tiered below.