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ASC News

Certificate-of-need laws, which regulate the development of healthcare facilities, have been the subject of controversy in some states where healthcare leaders and legislators view them as stifling competition in the healthcare sector. 

An Elevance-backed healthcare company based in Puerto Rico — MMM Holdings — has agreed to pay more than $15 million to resolve allegations that it violated kickback laws through a gift card incentive program intended to induce Medicare enrollments.

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From gold card programs to reimbursement cuts, physicians across several specialties have clashed with payers over 2024 due to major policy changes. 

Two Arizona residents have pleaded guilty to defrauding the Arizona Health Care Cost Containment System, Arizona's Medicaid agency, through their behavioral health clinic. 

On Dec. 21, President Joe Biden signed a spending bill to keep the federal government operating into 2025, leaving the planned 2.83% across-the-board Medicare physician payment cut untouched. 

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