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Compliance & Legal

By Jeff Lagasse | 03:27 pm | October 20, 2023
Organizations say the proposals are legally and operationally flawed and could hinder access rather than facilitate it.
By Susan Morse | 10:55 am | October 17, 2023
The retail store and pharmacy will continue operations, but will close underperforming stores, company says.
By Jeff Lagasse | 03:26 pm | October 16, 2023
The State of California identified several violations in the plan's provision of behavioral healthcare services to enrollees.
By Jeff Lagasse | 11:55 am | October 09, 2023
Most of the selected diagnosis codes that Aetna submitted to CMS didn't comply with federal requirements, OIG says.
By Jeff Lagasse | 03:09 pm | October 05, 2023
HHS said the revisions make "necessary improvements" to meet the demands of changes in biomedical and behavioral research.
By Susan Morse | 09:57 am | October 05, 2023
Combined Essentia Health, Marshfield Clinic would create 25 hospital system in Wisconsin, Minnesota, Michigan's Upper Peninsula, North Dakota.
By Jeff Lagasse | 11:59 am | October 04, 2023
Insurers are now precluded by federal regulation from implementing co-pay accumulators for drugs that lack generic equivalents.
By Jeff Lagasse | 11:17 am | October 03, 2023
The lawsuit was linked to past risk adjustment submissions from certain types of patient records, some dating back more than a decade.
By Susan Morse | 11:26 am | October 02, 2023
Drug manufacturers must now enter into an agreement with HHS to take part in the price negotiation process. 
By Susan Morse | 11:23 am | September 28, 2023
LCMC investments include $220 million in clinical service lines that will transfer from Tulane Medical Center to East Jefferson General Hospital.