Compliance & Legal

The AG wants a restraining order against marketing Tylenol as safe during pregnancy and stop a dividend payout.

The representatives want a two-year extension for APTCs and guardrails to prevent improper payments.

The National Conference of State Legislatures' Sarah Jaromin talks about how its public databases track every state's AI legislation, helping lawmakers stay informed as states debate ethical healthcare AI deployment.

States want early and clear guidance from CMS so they can move forward with system upgrades ahead of the Jan. 1, 2027, deadline.

CMS is looking to eliminate incomplete or delayed information and to reduce payer and provider friction, says Courtney Yeakel, chief product officer of the Payer unit at Veradigm.

The system alleges UHG is also overstating the sickness of members to collect higher MA payments.

Court determined CMS did not act unlawfully or exceed its authority in issuing the ratings.

Companies are developing agentic AI and automated systems without really considering the cybersecurity, privacy or patient safety ramifications of what they’re building, says Richard Staynings, professor and cybersecurity strategist.

The financial challenges are linked to a lawsuit charging the PBM with filing more than 3.3 million false claims from 2010 to 2018.

Charmaine Gatlin, 52, directing funds to herself and her relatives rather than to the Foundation, using funds to pay personal expenses.