Compliance & Legal
<p class="MsoNoSpacing">This week's top stories include TeamHealth winning its lawsuit against UnitedHealthcare for engaging in unfair reimbursement practices, and baby tech company Owlet pulling its connected-sock wearables following an FDA warning letter.</p>
In Missouri, a federal judge granted 10 states a preliminary injunction, and in Louisiana, the court issued a nationwide injunction.
A Nevada jury agreed with TeamHealth that United engaged in unfair reimbursement practices.
On average, Medicare has paid 340B hospitals 106% of the average sales price of the drugs.
The improper payment rate for claims processed July 1, 2020, to June 30, 2021, is 6.26%, a historic low, CMS says.
Decision against Hackensack Meridian Health and Englewood Health deal should be upheld, group tells federal appeals court.
Emergency regulation pertains to the 76,000 providers which receive Medicare and Medicaid reimbursement.
One claim for over $1,700 was for a 23-year-old man treated in the ER for indigestion after eating a chili dog, lawsuit says.
The complaint follows a cybersecurity incident earlier this year that potentially exposed the personal information of more than 700,000 people.
UHC, Humana and Kaiser Permanente all ranked highly as the number with 5 stars plans tripled this year compared to 2020.