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Compliance & Legal

By Susan Morse | 11:59 am | April 07, 2022
The DOJ has sued to stop the merger, citing anticompetitive concerns around data.
By Jeff Lagasse | 05:24 pm | March 28, 2022
The appeals court disagreed with a lower court's ruling that United Behavioral Health's practices were financially motivated.
By Susan Morse | 11:50 am | March 27, 2022
The administrative trial is scheduled to begin April 22.
By Jeff Lagasse | 03:59 pm | March 24, 2022
Failure to diagnose or a delayed diagnosis were the top reasons for the lawsuits, but most physicians said the suits didn't affect their careers.
By Jeff Lagasse | 02:18 pm | March 15, 2022
Having the right team in place when conducting SAFER assessments should ensure a smoother process.
By Susan Morse | 09:21 am | March 15, 2022
This decision validates that providers have a right to evaluate whether to participate in health plan networks, CEO says.
By Jeff Lagasse | 11:48 am | March 14, 2022
Guidance from CMS and other government agencies outlines what various actors are required to share and what constitutes information blocking.
By Susan Morse | 11:58 am | March 11, 2022
An estimated 500 defendants have been charged in cases involving the loss of more than $700 million.
By Jeff Lagasse | 12:33 pm | March 08, 2022
The organizations express concern that, when the public health emergency waiver ends, many patients will be left without access to care.
By Jeff Lagasse | 12:38 pm | March 07, 2022
The complaint alleges that GS Labs committed fraud against BCBS by submitting tens of thousands of claims using inflated cash prices.