Compliance & Legal

Aetna's individual Part D plan business, which was sold to WellCare, was the only area of concern for a lessening of competition, the DOJ said.

Medicare beneficiaries without low-income subsidies can expect to spend $6,894 a year out-of-pocket for treatment of MS.

The settlement also requires Aetna to implement mailing procedures that protect the confidentiality of medical information and complete a yearly compliance assessment.

The data shows a trend toward comprehensive benefits and significant cost savings, though concerns remain, especially regarding consumer protections.

David Smith said he expects his new role to involve in-depth research on the delivery and costs of healthcare for over 1 million lives.

Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.

Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation and Montefiore Health System.

The federal Anti-Kickback Statute and the Stark Law have some strict requirements for compliance, and providers would do well to take note.

We need to look not at what technology can do but, instead, what we should do with robotics to improve life for patients and caregivers, says Aimee van Wynsberghe, co-founder of the Foundation for Responsible Robotics.

The UK's new government strategy document is pivotal in changing the balance of healthcare by focusing on patient engagement and open standards and ensuring greater data transparency, says Dr. Afzal Chaudhry, CCIO of Cambridge University Hospitals Trust.