St. Jude Hoards Billions While Many of Its Families Drain Their Savings

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox. Series: St. Jude’s Unspent Billions Behind the Hospital’s Claims to Donors ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A series of sharp knocks on his driver’s side window startled Jason Burt awake. It was the middle of the night on a Saturday in 2016. Burt was sleeping in his pickup truck in the parking lot of St. Jude Children’s Research Hospital in downtown Memphis, Tennessee, where his 5-year-old daughter was being treated for brain cancer. He’d driven more than 500 miles from his home in Central Texas to visit her. A St. Jude security guard peered...

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Becerra Says Surprise Billing Rules Force Doctors Who Overcharge to Accept Fair Prices

Overpriced doctors and other medical providers who can’t charge a reasonable rate for their services could be put out of business when new rules against surprise medical bills take effect in January, and that’s a good thing, Health and Human Services Secretary Xavier Becerra told KHN, in defending the regulations. The proposed rules represent the Biden administration’s plan to carry out the No Surprises Act, which Congress passed to spare patients from the shockingly high bills they get when one or more of their providers unexpectedly turn out to be outside their insurance plan’s network. The law shields patients from those bills, requiring providers and insurers to work out how much the...

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Baptist Health’s West Kendall Baptist Hospital Reaches New Phase of Construction for Clinical Expansion Project

Facility Celebrates “Topping Out” of New Tower in Tandem with Ten Year Anniversary Baptist Health South Florida announced on 11/18/21 that it has reached a new phase of construction for the 125,000-square-foot clinical expansion project at West Kendall Baptist Hospital. Exactly ten years since the facility’s official debut and one year since the groundbreaking of the project, the “topping out” marks the completion of the building’s exterior structure and ultimately represents the rapid growth of the West Kendall community. Scheduled to be complete in January 2023, the highly anticipated new four-story tower houses 35 additional emergency department treatment rooms to meet the growing needs...

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OIG Revises Self-Disclosure Protocol

For the first time since 2013, The U.S. Department of Health & Human Services Office of Inspector General has issued updates to its Healthcare Fraud Self-Disclosure Protocol. Created in 1998, the protocol can be used to create a process to voluntarily identify, disclose and resolve instances of potential fraud involving federal healthcare programs. The OIG noted that between 1998 and 2020, it resolved more than 2,200 disclosures resulting in recoveries of more than $870 million. The following are some takeaways: For kickback-related submissions accepted into the SDP, OIG will require a minimum $100,000 settlement amount up from $50,000 to resolve the matter. For all other matters...

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