• “Worthless Services” Can Be Costly: Nursing Facilities Enter Into CIA and Financial Settlement to Resolve False Claims Act Suit Under “Worthless Services” Theory Over Alleged Quality Issues
  • February 12, 2013 | Authors: Jared L. Facher; Brian T. McGovern
  • Law Firms: Cadwalader, Wickersham & Taft LLP - New York Office ; Cadwalader, Wickersham & Taft LLP - Washington Office ; Cadwalader, Wickersham & Taft LLP - New York Office
  • With reform of the delivery and financing of health care at the federal and state level under way, quality of care has increasingly become a significant component of reimbursement for providers and managed care plans (e.g., “pay for performance” and quality incentive initiatives). At the same time, quality of care has moved front and center as a compliance concern among regulatory and law enforcement authorities. As of March 23, 2013, all nursing homes participating in the Medicare and Medicaid programs must have adopted and implemented a comprehensive ethics and compliance program that covers, among other issues, quality of care.