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Compliance & Legal

By Jeff Lagasse | 08:42 pm | November 18, 2024
The bill would grant executive authority to nix nonprofits deemed 'supportive' of terrorist organizations.
By Jeff Lagasse | 04:42 pm | November 14, 2024
HRSA informed J&J in August that its rebate model was inconsistent with the 340B statute.
By Susan Morse | 11:46 am | November 13, 2024
The merger would further consolidate UnitedHealth's standing as the dominant force in the American healthcare system, lawsuit says. 
By Susan Morse | 11:02 am | November 07, 2024
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
By Susan Morse | 12:17 pm | November 06, 2024
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
By Jeff Lagasse | 10:29 am | November 05, 2024
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
By Jeff Lagasse | 04:00 pm | October 28, 2024
Ivor Jallah, 37, pleaded guilty earlier this year and has been sentenced to 120 months in federal prison.
By Jeff Lagasse | 12:12 pm | October 28, 2024
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.
By Jeff Lagasse | 04:14 pm | October 24, 2024
To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.
By Susan Morse | 12:05 pm | October 24, 2024
The star rating drop will cause Centene to lose an estimated $73M in gross revenue, lawsuit says.