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Elevance, UnitedHealth among insurers accused of alleged price fixing
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Cleveland Clinic and Amazon One Medical collaborate
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CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
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Financial disincentives for providers who commit information blocking
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Survey: Almost a quarter of Americans underinsured
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HHS, Illinois reach agreement on disability rights
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Express Scripts, Caremark, OptumRx sue FTC
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Reproductive care, including abortion, facing challenges
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth prescribing of controlled drugs extended
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Cardinal Health set to acquire two companies for combined $3.9B
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Top Stories
Elevance, UnitedHealth among insurers accused of alleged price fixing
J&J sues HRSA for blocking 340B plan
Telehealth prescribing of controlled drugs extended
Anti-Kickback Statute
Sep 20 | Jeff Lagasse
CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
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Aug 26 | Jeff Lagasse
Radiology group paying $8.8M over False Claims Act violations
The settlement claims NIRP illegally paid physicians for referrals to clinics established to surgically treat patients with PAD.
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Jul 23 | Jeff Lagasse
DaVita paying $34 million over kickback allegations
DaVita allegedly paid kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis…
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Jul 17, 2023 | Jeff Lagasse
EHR vendor NextGen Healthcare paying $31 million in False Claims Act settlement
The U.S. contends that NextGen falsely obtained certification for its software and that its EHR lacked…
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Feb 01, 2021 | Jeff Lagasse
UPDATED: Trump-era rebate rule for Medicare Part D on hold until 2023
The parties have been ordered to submit a joint status report identifying whether and how this case should proceed by…
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Dec 22, 2020 | Susan Morse
Department of Justice sues Walmart alleging unlawful opioid dispensing
Pharmacists are in the untenable position of being held liable for a doctor's prescription, Walmart said in its…
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Nov 21, 2020 | Susan Morse
CMS finalizes changes to Stark Law that hinder physician referral
The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…
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Nov 21, 2020 | Susan Morse
HHS issues final rule ending pharmacy benefit manager drug rebates to insurers
Opponents say the rule will not lower drug prices, and some question whether it is legal, having bypassed the…
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Feb 19, 2020 |
More than $2 billion in fraud recoveries collected from healthcare companies last year
Providers warned to stay vigilant as financial and political incentives remain strong to bring False…
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Dec 11, 2019 | Jeff Lagasse
Telehealth laws and regulations in 2019 have set the stage for increased access and use
As the care delivery platform becomes more legitimate and accepted, governments, payers and providers…
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