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Compliance & Legal

By Jeff Lagasse | 11:56 am | January 20, 2021
HHS is encouraging all relief fund recipients who have received aggregate payments exceeding $10,000 to establish a reporting account.
By Mallory Hackett | 05:07 pm | January 19, 2021
Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is "half-baked," AHIP says.
By Jeff Lagasse | 04:47 pm | January 19, 2021
This earlier release of the rate announcement will help MA and Part D plans better plan for 2022 plan costs, CMS says.
By Mallory Hackett | 04:20 pm | January 15, 2021
The data will be used in a study to assess how physician practice mergers and hospital acquisitions of physician practices affect the marketplace.
By Jeff Lagasse | 10:38 am | January 15, 2021
The changes are effective in 2022 and may lower enrollee cost sharing on the most expensive prescription drugs, CMS said.
By Jeff Lagasse | 05:34 pm | January 14, 2021
Goals include reducing consumer costs, accelerating innovation and clarifying program requirements.
By Jeff Lagasse | 10:08 am | January 13, 2021
The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.
By Jeff Lagasse | 05:28 pm | January 11, 2021
The program will be implemented in four state community locations, including in Alaska, Michigan, Texas and West Virginia.
By Jeff Lagasse | 11:49 am | January 11, 2021
This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.
By Jeff Lagasse | 10:10 am | January 08, 2021
The UnitedHealth Group subsidiary is charged in two conspiracies to suppress competition for the services of senior-level employees.