'We have long been concerned about ensuring this model does not give corporate profiteers yet another opportunity to take a chunk out of traditional Medicare,' wrote SenWarren, RepJayapal, SenSanders, AOC, and other progressive lawmakers.
"AdventHealth, which operates a DCE in Florida, was the subject of one of the largest healthcare fraud settlements in 2015, paying $115 million to settle allegations that the organization 'submitted false claims to the Medicare and Medicaid programs,'" the lawmakers note.
Specifically, the lawmakers urged the Biden administration to"closely examine" ACO REACH participants, halt participation by"any organizations that have committed healthcare fraud," and terminate"DCEs that do not meet the new standards for the ACO REACH program."
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