"The False Claims Act allows private citizens to sue companies that are defrauding the government as a way to recover funds on the government's behalf. The law rewards whistleblowers with 15 percent to 25 percent of the recovery when the government joins the whistleblower lawsuit."
"A bipartisan group of 17 senators on Tuesday (May 21) urged CMS to avoid deep payment cuts to dialysis facilities, even though the fiscal-cliff deal directs CMS to scale back dialysis pay."
"The government will not set payment rates for prescription drugs, organ transplants or kidney dialysis. Officials did not say why those items and services had been exempted."
"A provider generally functions as a profit-driven business, and if the consumer remains unable to compare hospital prices and outcomes, the chances of crafting effective incentives to improve quality and reduce costs are effectively nearing zilch."
"The government will not set payment rates for prescription drugs, organ transplants or kidney dialysis. Officials did not say why those items and services had been exempted."
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