The United States Centers for Medicare and Medicaid Services (CMS) investigates hospitals throughout the country to check for compliance. A poor investigation can result in serious ramifications, including the inability to receive funding through CMS.
The Department of Health and Human Services (HHS) has stated that changes to the physician self-referral system are likely in the near future. The Trump administration is considering changes to the Stark law with a goal of encouraging coordinated care. An official with the Trump administration expects changes by the end of the year.
The United States Federal Bureau of Investigation (FBI) has ramped up investigations of allegations of illegal medical kickbacks to physicians and health care businesses in the Dallas area. Since May, the agency has raided at least four separate, local health care businesses.
A recent article in a home health care industry publication lays out a compelling argument against a bounty system that punishes individuals and companies that have done nothing wrong. Their "crimes" are often little more than bookkeeping errors, insufficient documentation or simply being in the wrong place at the wrong time and getting pulled into one of many investigations launched in pursuit of big paydays from whistleblower lawsuits.
In mid-January, the Centers for Medicare & Medicaid Services published a home health agency final rule outlining new minimum standards for home health agencies participating in Medicare and Medicaid.
Just like with any other business, the owners of health care companies may wish to expand by purchasing related organizations, or they may wish to sell to a potential buyer. Additionally, individuals may want to get into the health care industry by purchasing an already existing organization.