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LCMC Health System (formerly known as Louisiana Children's Medical Center) is a nonprofit network of healthcare providers in Southern Louisiana, based out of New Orleans. Members include academic centers, acute care facilities, and research hospitals. LCMC Health, along with Ochsner, dominate the Louisiana health and hospital space.
In June 2011, three Amedisys care centers were awarded the first Integrated Health Care Standards Accreditation for Behavioral Health Disorders by ACHC. [20] In 2010 and 2011, under the Medicare Home Health Pay for Performance (HHP4P) demonstration Amedisys received the largest reward in both years ($3.6 million in 2010, $4.7 million in 2011). [21]
In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
Ochsner Health System is a not-for-profit health system based in the New Orleans metropolitan area of southeast Louisiana, United States. [5] As of 2021 [update] it is the largest non-profit, academic healthcare system operating in Louisiana, with 40 medical facilities across the state.
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Health care fraud includes health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging in fraud are always ...
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HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]