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Compliance & Legal

By Susan Morse | 12:04 pm | October 21, 2022
CVS Health says it anticipates the transaction closing in the first half of 2023.
By Susan Morse | 11:18 am | October 20, 2022
Since Roe v. Wade was overturned, HHS has received complaints about refusals by chain pharmacies, Becerra says.
By Jeff Lagasse | 11:30 am | October 18, 2022
The complaint charges Cigna with encouraging diagnoses that yielded higher reimbursement for MA members.
By Jeff Lagasse | 10:04 am | October 12, 2022
Blue Shield criticized DHCS for intending to award contracts to national, for-profit companies, singling out Kaiser Permanente in particular.
By Jeff Lagasse | 04:30 pm | October 05, 2022
The court estimates the alleged overpayments far exceeded $100 million over a span from 2014 to 2018.
By Susan Morse | 09:50 am | September 29, 2022
There is a widespread inability to support the access, exchange and use of electronic health information, the groups say. 
By Susan Morse | 01:39 pm | September 22, 2022
Centene made no admission of liability and maintained its business practices are lawful. 
By Susan Morse | 11:41 am | September 21, 2022
The groups indicate further court action is coming due to continued problems with the interim and final rules.
By Susan Morse | 12:23 pm | September 20, 2022
The DOJ says it is closely reviewing the opinion to evaluate the next steps.
By Jeff Lagasse | 04:19 pm | September 14, 2022
The AMA and other plaintiffs contend the insurer significantly underpaid claims and put patients at risk of balance billing.