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The base composite rate as of 2006 is $130 for freestanding dialysis facilities. Medicare caps its payments to facilities at an amount equal to three dialysis sessions per week. Although home dialysis may be given more frequently it is not fully reimbursed by Medicare. [citation needed] An add-on payment supplements the composite rate.
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About 600 dialysis clinics in California serve about 80,000 patients per month, according to a state legislative analysis. To address the patients’ needs, clinics often operate longer hours and ...
Proposition 8, also known as the Limits on Dialysis Clinics' Revenue and Required Refunds Initiative and Prop 8, was a California ballot proposition intended to authorize state regulation of kidney dialysis clinics and limit charges for patient care. It failed in the November 2018 California elections.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
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In 2000, the company pleaded guilty to billing Medicare for unnecessary medical tests and to paying kickbacks for lab business and paid a $486 million fine. [11] [12] [13] In February 2012, the company acquired Liberty Dialysis Holding, which added 201 clinics, for $1.5 billion. [14] In March 2012, Rice Powell was appointed CEO. [15] [16]
Two state-based health insurance regulators is unusual in the United States, and has led to various additional work to synchronize laws. [3] This dual regulation arose due for historical reasons, and when the DMHC was created in 2000, the California legislature requested a report on merging the health insurer responsibilities with the CDI. [4]
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