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Sharp growth in insured rate, aging population and chronic disease are major factors in spending, though stats suggest effort to control costs.
Practice submitted Medicare claims for the drugs, violating the False Claims Act, DOJ says.
The Congressional Budget Office has said repealing the mandate would increase insurance premiums by roughly 20 percent.
So far this year, 21 states have introduced aid-in-dying legislation.
The company has been steadily selling off hospitals and other medical properties in order to raise $1.2 billion needed to pay down its debt.
Insurer hopes new Department of Justice could be more favorable to the merger.
The potential CMS administrator, in her confirmation hearing, largely ducked questions about specific ideas for Medicare and Medicaid management.
System has dealt with dozens of layoffs and several leadership changes in past six months.
The lowest earners accounted for half the usage of preventative care and nearly twice the hospital admission rate.
The name change is part of a rebranding effort meant to clear up any confusion regarding the company's former name.