The American Orthotic and Prosthetic Association (AOPA) is suing the Department of Health and Human Services over 2011 rule changes for prosthetic reimbursements requiring physician documentation, which the association claims is wreaking financial havoc on O&P practitioners due to prepayment audits and retroactive application.

The federal government has uncovered a string of alleged Medicare fraud attempts totalling $223 million and involving 89 individuals in eight cities.

The Centers for Medicare & Medicaid Services (CMS) is looking to more than a dozen dual eligible demonstrations to fulfill the quality improvement and cost saving aims of the Affordable Care Act, although in the five demonstrations approved so far, the exact sources of projected savings remain largely unclear, according to the Kaiser Family Foundation.

The U.S. Equal Employment Opportunity Commission (EEOC) is going to offer clarification on wellness programs and federal nondiscrimination compliance, after several business groups and disability advocates asked for guidance on the issue.

If Congress pursues tax reform in the near future, one tax expenditure likely to be considered and possibly adjusted is the exemption for employer-sponsored insurance — and it's about time, argue researchers at the Urban Institute.