Compliance & Legal
Company releases new report about costs of medications on the heels of a lawsuit coming to light in which its prescription benefit management subsidiary Caremark is accused of keeping prescription spread pricing profits.
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.
The CEO of Union General Hospital in Blairsville, Georgia and two physicians are accused of drafting and filling illegal prescriptions, intimidating, firing employees.
CHS, already facing financial troubles, has been accused of breaching contractual obligations with the tech giant, by continuing the use of Microsoft products at some of its recently sold hospitals.
Plaintiffs are three John Does associated with the Ohio HIV Drug Assistance Program.
AG's suit said Sutter Health is only allowing "all or nothing" contract negotiations with insurers, boosting out-of-network charges.
The alliance is one of the first, if not the first, national blockchain alliances for healthcare, says Optum engineer.
AHA and three of its member hospitals had sued HHS due to the long delay in processing claims appeals.
Hospital legal spokesman blamed complex interpretation billing classification rules, said hospital cooperated fully with DOJ investigation.
The Office of the Insurance Commission will impose some or all of a remaining $900,000 suspended fine if the insurer does not meet compliance plan.