A Georgia nurse practitioner who owned two telemedicine companies has been sentenced to 120 months in prison for orchestrating a scheme that submitted more than $136 million in fraudulent Medicare claims for medically unnecessary orthotic braces and prescription drugs, the…
Patsy Newitt
Private equity’s decade-long consolidation of anesthesiology has produced two documented outcomes: higher prices for payers and worse working conditions for physicians, according to a June 2026 white paper from AMGA Consulting. The market share shift has been significant. A 2020…
The HHS Office of Inspector General has issued an unfavorable advisory opinion finding that a home health agency’s payment to a software vendor for referral management services would violate the Anti-Kickback Statute, according to a June 25 opinion. Under the…
Physician practice consolidation continued at a rapid pace through the first half of 2026, with more than 40 transactions spanning ophthalmology, cardiology, gastroenterology, dermatology, primary care and orthopedics. Buyers ranged from national health systems and physician-owned platforms to private equity-backed…
More than a dozen physicians and advanced practice providers have left Dignity Health Dominican Hospital in Santa Cruz, Calif., after the health system’s medical foundation unilaterally changed its contracting arrangements with the Santa Cruz Medical Group late last year, Lookout…
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Call structure doesn’t always appear in anesthesiology compensation benchmarking reports, but for many anesthesia providers it’s becoming an increasingly important employment element, and the consequences are showing up in retention data and pay disputes. According to AMGA Consulting’s June 2026…
A Des Moines, Iowa, plastic surgeon has been named in a federal False Claims Act complaint alleging he submitted fraudulent invoices to Medicare to inflate reimbursements for skin substitute products used to treat wounds following Mohs surgery, according June 23…
A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change what the payer reimburses, what the patient owes and…
Texas is home to one of the largest ASC markets in the country, with no certificate-of-need law and a fast-growing population driving sustained development. Here are five updates from the last year shaping the Texas ASC landscape. 1. Austin pain…
Gastroenterology is simultaneously one of the highest-paid and most financially frustrated specialties in medicine. Pay has climbed 47% over the last decade but fallen below 2015 levels in inflation-adjusted terms. Here are 15 numbers that capture where GI compensation stands…