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Compliance & Legal

By Jeff Lagasse | 11:55 am | October 27, 2023
Benefits will now be distributed to the subscribers who sued Blue Cross more than a decade ago.
By HIMSS TV | 06:00 am | October 26, 2023
Having a central repository for consent would promote both interoperability and health equity, says Daniel Stein, president of Stewards of Change Institute.  
By Jeff Lagasse | 01:21 pm | October 25, 2023
A deal between Express Scripts and Prime Therapeutics served solely as a price-fixing mechanism, the suit alleges.
By Jeff Lagasse | 04:27 pm | October 20, 2023
Organizations say the proposals are legally and operationally flawed and could hinder access rather than facilitate it.
By Susan Morse | 11:55 am | October 17, 2023
The retail store and pharmacy will continue operations, but will close underperforming stores, company says.
By Jeff Lagasse | 04:26 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 | 12:55 pm | 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 | 04:09 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 | 10:57 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 | 12:59 pm | October 04, 2023
Insurers are now precluded by federal regulation from implementing co-pay accumulators for drugs that lack generic equivalents.