Compliance & Legal

Humana brought the case against Walgreens in February 2022, claiming the retailer had inflated prescription drug prices for years.

Various agencies are regulating different aspects of AI, says Bryant Godfrey, partner at Foley Hoag.  

Putting policy and procedures into place is one of the best ways to navigate compliance in the novel area between healthcare and technology, says Sara Helene Shanti, a partner in Sheppard Mullin's Corporate Practice Group in Chicago.  

AI can make healthcare more human by alleviating much of the burden, says Jay Rughani, investment partner at a16z, who, with colleagues recently released, "AI: The Teammate Clinicians Need."

The Trusted Exchange Framework and Common Agreement is now live, but the challenge is FHIR in TEFCA, says Don Rucker, chief strategy officer for 1upHealth and former national coordinator for Health IT at HHS.

Humana opposes the transfer to the Dallas division, DOJ says.

The technology falsely tagged consumers, particularly women and people of color, as shoplifters, FTC says. 

In exchange for the unearned billings, the physicians reportedly continued to funnel patients to ChristianaCare.

Optum Rx forced pharmacies to grant it discretion in calculating DIR fees they had to pay, the lawsuit claims. 

The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on its AI model's "highly inaccurate" recovery predictions.