Compliance & Legal
To date, New York has refunded approximately $10 million to the federal government and recovered roughly $19 million in unallowable payments.
GAO identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered recommendations.
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment supply companies.
Particle Health claims Epic is intentionally stifling its ability to send and receive health information.
Caremark, Express Scripts, Optum and their GPOs created a rebate system that boosted PBM profits, FTC alleges.
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
Fifteen patients at Steward hospitals have died due to a lack of medical equipment or staffing shortages, says Chairman Bernie Sanders.
Confusion around CMS' final rules has been a challenge, yet the industry continues to advance seamless data exchange.
The drug company faces civil monetary penalties and the termination of its Pharmaceutical Pricing Agreement.
Express Scripts is demanding the FTC retract its report, claiming it's filled with "false and misleading claims."