While CMS has waived sure fraud and abuse laws for providers taking part in numerous demonstration tasks, those who obtain a waiver usually can’t apply it past the precise demonstration or mannequin. The lack of protections extending care improvements to different Medicare sufferers or Medicaid and commercially-insured beneficiaries minimizes efficiencies and cost financial savings realized through most of these models and demonstration initiatives. An average-sized group hospital spends almost $7.6 million yearly on administrative actions to support compliance with the reviewed federal laws – that figure rises to $9 million for these hospitals with PAC beds.
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