Compliance & Legal
Bridges Health Partners says Aetna profited from value-based contract manipulation.
The complaint alleges that Regeneron fraudulently inflated Medicare reimbursement rates for a retinal disease drug.
HIMSS24
1upHealth leverages FHIR for interoperability and improved data flow for clinical claims, says CEO Joe Gagnon.
UHG can use its leverage to force doctors to limit networks, cut services and see more patients per day to pad its profits, say senators.
HIMSS24
AI, technology to improve maternal health outcomes and funding for public health data modernization are big topics at HIMSS24, says Tom Leary, SVP and head of government relations at HIMSS.
Amedisys would be folded into Optum, but the DOJ and state regulators are putting the deal under the microscope.
Defendants "materially misrepresented to consumers significant aspects of Stone Academy's practical nursing program," judge writes.
Change Healthcare cyberattack has forced medical practices to go without revenue for a twelfth day, the AMA tells HHS.
Investigators are reportedly looking into Optum Health's acquisition of physician groups, among other matters.
Overall, healthcare fraud was responsible for two-thirds of the recovered amount in 2023.