Compliance & Legal
Optum would have competitive payers' data to inform its reimbursement rates, giving UHC more clout in negotiations.
At least 65% of the top 100 largest hospitals were "unambiguously noncompliant" with the rule as of early February.
HHS Office of Inspector General has issued a fraud alert over COVID-19 scams.
Brookdale Senior Living allegedly submitted false staffing information that led to "undeserved higher star ratings."
Fraudulent activity was on the rise in 2020, but recoveries lagged during the public health crisis. Now the bill is coming due.
Centene called the allegations "unfounded" and pledged to aggressively defend its pharmacy services.
The bill includes $34 billion to help consumers get health insurance coverage through the ACA.
OCR says it anticipates a high degree of public interest because the HIPAA Privacy Rule affects nearly anyone.
The American Hospital Association has requested judicial review of an appeals court decision to reduce payments to off-campus facilities.
The two entities have created this specialization to help bridge the VBC knowledge gap.