Ind. man gets 13 years for posing as physician, illegal prescribing | Fla. nurse admits to stealing controlled substances | Mont. woman admits to defrauding Medicaid
February 10, 2017
NHCAA SmartBrief
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Ind. man gets 13 years for posing as physician, illegal prescribing
Scott Redman of Indiana was sentenced to serve 13 years in prison for posing as a licensed doctor and illegally prescribing psychiatric drugs to patients. Redman, who was convicted by a jury in November, assumed the identity of an Illinois psychiatrist to practice and hold counseling sessions at Clarity Clinic in Chicago in 2015 and 2016.
Daily Southtown (Tinley Park, Ill.) (2/8) 
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Law Enforcement & The Courts
Fla. nurse admits to stealing controlled substances
Stacey Lawhorn, a surgical nurse from Delray Beach, Fla., admitted to stealing prescription drugs from West Boca Medical Center's operating room using patients' identification numbers. Lawhorn was charged with 44 counts of possession of a controlled substance without a prescription and single counts of fraud and larceny, according to the arrest report.
The Palm Beach Post (Fla.) (tiered subscription model) (2/9) 
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Mont. woman admits to defrauding Medicaid
Lori Sirucek of Butte, Mont., on Thursday entered a guilty plea to felony conspiracy to commit theft of public assistance. Sirucek, who faces up to six months in the Department of Corrections or a $1,500 fine, falsified the Medicaid timesheets of her two caregivers.
The Montana Standard (Butte) (2/9) 
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N.C. woman arrested on prescription fraud allegations
Dorothy McNeill of Wagram, N.C., was arrested on charges of obtaining a schedule II controlled substance by fraud and possession of a schedule II controlled substance. Authorities say McNeill is suspected of using false information to obtain fraudulent prescriptions for 480 dosage units of oxycodone.
The Pilot (Southern Pines, N.C.) (2/8) 
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Policy & Regulatory News
Senate confirms Price as HHS secretary
Senate confirms Price as HHS secretary.
Price (Alex Wong/Getty Images)
The Senate voted 52-47 early this morning to confirm Rep. Tom Price, R-Ga., as HHS secretary. Price, an orthopedic surgeon who has held a House seat since 2005, has backed repeal of the Affordable Care Act and conversion of Medicaid to a block grant program.
The New York Times (free-article access for SmartBrief readers) (2/10) 
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Alexander's vision for dealing with the ACA starts with stabilizing markets
Alexander's vision for dealing with the ACA starts with stabilizing markets.
Alexander (Alex Wong/Getty Images)
Sen. Lamar Alexander, R-Tenn., chairman of the Health, Education, Labor, and Pensions Committee, has called for a measured approach to dealing with the Affordable Care Act, starting with stabilizing the individual insurance market and taking a bipartisan route to doing so. His position stands out among his Republican colleagues, but indicators suggest others are beginning to embrace his views.
The Atlantic online (2/7) 
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Tools & Technology
Study shows cancer survivors benefit from telehealth
UK researchers found that cancer survivors appreciated the convenience and flexibility of using telehealth for follow-up consultations and meetings with their health care providers. Cancer survivors also said telehealth lets them feel more comfortable voicing concerns they would avoid bringing up during face-to-face doctor visits, lowers their sense of vulnerability and helps them return to their daily lives. (2/6) 
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Health Insurance Industry News
State-run marketplaces report robust enrollment
State-run health insurance exchanges showed largely positive open enrollment results, and predicts an overall increase of 2%, although some states saw declines and others have not reported final numbers. Massachusetts, Colorado and Washington reported 24%, 14% and 12% increases over last year, respectively, while enrollment in Connecticut, Maryland and New York was down, although New York reported a 75% increase in basic health plan enrollment.
CNBC (2/7) 
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Medical News
Study: Strict BP control may not worsen elderly mobility
Mean gait-speed declines were the same for elderly patients with hypertension who achieved a systolic blood pressure of less than 120 mm Hg as they were for those who hit a target of less than 140 mm Hg, according to SPRINT study data published in JAMA Internal Medicine. Some physicians expressed optimism about the data, saying the study suggests intense BP control is not harmful to mobility in older patients, but others were concerned about higher risks of kidney problems, syncope and other issues in the intensive-treatment group.
Medscape (free registration) (2/8) 
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Atherosclerosis in younger adults tied to heart risks
Atherosclerosis in adults ages 32 to 46 was associated with a fivefold increased risk of a fatal or nonfatal heart attack over the next 12 years, independent of other risk factors, in a long-term study of more than 3,000 women and men published in JAMA Cardiology. "Heart disease really begins in adolescence and early adulthood," said researcher Jeffrey Carr, M.D.
HealthDay News (2/8) 
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Health care anti-fraud reference materials available
Visit NHCAA's Amazon Bookstore and enjoy the benefits and ease of Amazon while shopping for reference materials related to health care fraud investigations and SIUs. We stock coding books, medical dictionaries and books written by former ATC keynote faculty.
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