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Compliance & Legal

By Jeff Lagasse | 03:58 pm | September 17, 2021
Deferred patient care due to COVID-19 contributed to UnitedHealthcare's lack of spending.
By Jeff Lagasse | 12:05 pm | September 17, 2021
The decision to exercise enforcement discretion for the payer-to-payer policy doesn't affect any other existing regulatory requirements.
By Mallory Hackett | 03:26 pm | September 16, 2021
Aetna says it wrongly denied requests to cover fertility treatments for certain individuals and that it would rectify its mistake.
By Jeff Lagasse | 12:46 pm | September 16, 2021
The DOJ alleges the entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage plans.
By Mallory Hackett | 05:09 pm | September 14, 2021
The lawsuit claims that Aetna is in violation of Section 1557 of the ACA, a section that has undergone regulatory contention over recent years.   
By Susan Morse | 11:54 am | September 14, 2021
This is the 20th investigation of HIPAA Right to Access by the Office of Civil Rights.
By Susan Morse | 05:37 pm | September 09, 2021
The federal government wants SB8 declared invalid and the court to issue a preliminary and permanent injunction.
By Mallory Hackett | 05:23 pm | August 31, 2021
In addition to having to pay millions, Sutter Health must adopt a number of new business practices to encourage transparency and restore competition in the area.   
By Mallory Hackett | 05:02 pm | August 30, 2021
The appeal comes after a federal judge granted the FTC an injunction to halt the acquisition until it could complete an internal investigation.
By Mallory Hackett | 03:25 pm | August 27, 2021
This is just the latest report to suggest many nonprofits skimp on their community contribution requirements.