Compliance & Legal
The deal may now be finalized in April 2022, though this isn't the first delay, largely owing to an ongoing DOJ investigation.
The rule, which goes into effect in January, gives insurers incentive to exclude higher-cost specialized services from their networks, lawsuit says.
The damages follow last week’s verdict in which the jury ruled that UnitedHealth failed to adequately pay ER doctors.
The appeal is in response to court rulings saying the federal government overstepped its authority by not seeking Congressional approval.
This week's top stories include TeamHealth winning its lawsuit against UnitedHealthcare for engaging in unfair reimbursement practices, and baby tech company Owlet pulling its connected-sock wearables following an FDA warning letter.
In Missouri, a federal judge granted 10 states a preliminary injunction, and in Louisiana, the court issued a nationwide injunction.
A Nevada jury agreed with TeamHealth that United engaged in unfair reimbursement practices.
On average, Medicare has paid 340B hospitals 106% of the average sales price of the drugs.
The improper payment rate for claims processed July 1, 2020, to June 30, 2021, is 6.26%, a historic low, CMS says.
Decision against Hackensack Meridian Health and Englewood Health deal should be upheld, group tells federal appeals court.