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Compliance & Legal

By Susan Morse | 12:04 pm | September 13, 2022
Change claims editing buyer TPG is incapable of replacing the competitive intensity that currently exists, DOJ says.
By Jeff Lagasse | 01:07 pm | September 12, 2022
UHC has filed its own lawsuit accusing the physician firm of deliberately upcoding thousands of claims.
By Jeff Lagasse | 11:11 am | September 09, 2022
The agency's rule reverses a Trump-era policy that affected noncitizens' legal status if they received health benefits, including Medicaid.
By Susan Morse | 05:58 pm | September 02, 2022
The Foundation for Government Accountability wants CMS to release enforcement data it did not get by FOIA request.
By Susan Morse | 09:35 am | September 01, 2022
District Judge Carl Nichols is expected to release a ruling in the case before the end of October.
By Jeff Lagasse | 04:15 pm | August 24, 2022
BCBS is accusing Teva of offering coupons to prevent consumers from switching to a generic, lower-cost version of Copaxone.
By Jeff Lagasse | 04:41 pm | August 23, 2022
In issuing the ruling, U.S. District Judge Lisa Godbey Wood said CMS' decision was "arbitrary and capricious."
By Susan Morse | 12:16 pm | August 22, 2022
One organization has engaged legal counsel, saying it hopes deficiencies identified will be corrected in the final rule. 
By Susan Morse | 07:05 pm | August 19, 2022
The departments say they have received "substantially more" disputed claims than expected. 
By Susan Morse | 11:55 am | August 11, 2022
The judge has awarded legal fees of $626 million, representing 23.47% of the settlement fund.