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Compliance & Legal

By Beth Jones Sanborn | 02:26 pm | May 02, 2017
Investigation started when a pathologist formerly employed by Poplar named Gordon Wang, filed a complaint against the company.
By Beth Jones Sanborn | 04:30 pm | May 01, 2017
Scheme involved Berkeley HeartLab of Alameda, California, which Quest acquired in 2011, DOJ said.
By Susan Morse | 04:18 pm | April 28, 2017
Victory claims the Blue Cross plans are trying to force out-of-network providers to become in-network, accept below-market contractual terms.
By Beth Jones Sanborn | 01:23 pm | April 27, 2017
Chiropractor Vladimir Gordon, Jr., Vladimir Gordon, Sr., Alexsander Gordin ran 6-year scheme that bilked insurers, including unions and welfare.
By Susan Morse | 02:45 pm | April 26, 2017
CEO Joe Swedish leaves door open for Express Scripts return, said Anthem is entering ACA market on assumption cost-sharing reduction payments go on.
By Jeff Lagasse | 09:25 am | April 25, 2017
The pair admitted they submitted approximately $6 million in false and fraudulent claims to Medicare, Medicaid and Tricare.
By Kaiser Health News | 10:39 am | April 24, 2017
Patent laws, government incentives, meant to encourage development of less-profitable drugs, enable some companies to get a leg up, set high prices.
By Mike Miliard | 02:18 pm | April 21, 2017
Center for Children's Digestive Health shared protected health info with FileFax, but didn't have a BAA in place.
By Jessica Davis | 02:20 pm | April 20, 2017
The agency scored higher on six of nine patient safety indicators, but still needs to work on behavioral health and patient experience, a JAMA Internal Medicine report finds.
By Bernie Monegain | 10:52 am | April 20, 2017
HHS Secretary Tom Price plans to focus on public health surveillance and the availability of overdose-reversing drugs.