Compliance & Legal
Price pressed Medicare officials on funding change that led to windfall for biotech company run by a top campaign contributor, document shows.
Companies expect that stronger data integration and analytics capabilities will help support outcomes-based contracting.
The ruling sets a precedent establishing Medicare Advantage as a separate market from traditional Medicare.
Jamerio Clark of Detroit, 28 accessed the database at the medical facility where he worked looking for information on victims, relatives, DOJ says.
Plans cited include Blue Cross Blue Shield of Michigan, Highmark of Pennsylvania, SCAN Health Plan of California, some Humana, UnitedHealth plans.
At least six members of the two Senate committees tasked with questioning or confirming Rep. Tom Price, R-Ga., hold shares in healthcare companies
Settlement will require McKesson to hire an independent monitor to assess compliance, the first of its kind in a CSA civil penalty settlement, the DOJ said.
Many orphan medicines, originally developed to treat diseases affecting fewer than 200,000 people, come with astronomical price tags.
Doctor is seeking class-action status for a lawsuit against Molina Healthcare, saying the insurer owes thousands for Medi-Cal patient care.
Aria Sabit lied about procedures performed, fraudulently billed government programs, performed unnecessary surgeries and implants, authorities say.