Compliance & Legal

While gap analysis can find existing vulnerabilities in an organization's security, it's not an equal substitution for HIPAA-required risk analysis.

Former chief executive of Calhoun-Liberty Hospital is charged with using money to pay various personal expenses like credit cards, groceries, his own business and travel, the DOJ said.

Lower court's decision about disproportionate share hospital payments undermines the ability HHS has to administer Medicare reimbursement, Azar says.

A pair of physicians and one Las Vegas practice are under fire for an array of alleged offenses including fraud and identity theft.

The deal marks Harvard Pilgrim's third such contract aligning medication payments to real-world performance with patients.

The court order covers all insurers offering qualified health plans in the Affordable Care Act market for the 2017 or 2018 benefit year.

Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered inpatient care that could have been handled on outpatient basis.

Announcement comes roughly a month after company and CEO Elizabeth Holmes settled SEC investigation that stripped her of corporate voting rights, and levied a $500,000 fine.

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.