A Texas optometrist, agreed to pay $1 million to settle allegations of healthcare fraud. The doctor operated a network of optometry practices in Central Texas and according to the government, these practices submitted claims to TRICARE, Medicare, and Medicaid using the National Provider Identifiers (NPIs) of optometrists who did not perform the services billed. They allegedly did so “in circumstances where the optometrist who rendered services was not credentialed or enrolled in the Federal healthcare program billed.
The return of Donald Trump to the White House raises questions about potential changes to healthcare cybersecurity and HIPAA regulations. While some experts anticipate a reversal of the Biden administration’s reproductive health data privacy protections, others believe the Trump administration will focus on completing previously proposed HIPAA Privacy Rule changes. Cybersecurity, however, is seen as a non-partisan issue, with potential for continued focus on implementing stronger practices and potentially updating the HIPAA Security Rule.
Hospices are exploring palliative care programs to remain relevant in the evolving value-based care landscape. Palliative care, which focuses on managing symptoms and improving quality of life for patients with serious illnesses, is increasingly recognized for its potential to reduce healthcare costs. By partnering with Medicare Advantage plans and Accountable Care Organizations, hospices can leverage palliative care to participate in value-based reimbursement models.