Compliance & Legal
An investigation by HRSA revealed what the agency called “concerning features” that raised legal and ethical concerns.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
The court said Humana didn’t exhaust the administrative appeals process, though CMS has already rejected one appeal.
The AGs said a rule targeting 'improper' enrollments would cause widespread loss of insurance coverage and increase premiums.
The bill would double the federal investment in rural health care while reversing future changes to Medicaid hospital funding.
The lawsuit alleged that Blue Cross KC invalidated more than 350 diagnoses and has yet to pay more than $2 million.
DOJ’s criminal healthcare-fraud unit is investigating how UnitedHealth deployed doctors and nurses to gather diagnoses that bolstered its payments, WSJ says.
Unless vacated, the directive will result in preventable deaths, including the unborn and newborns under six months old, lawsuit says.