Compliance & Legal
BC Idaho CEO says new option brings lower-cost services to the middle-class. HHS Secretary Alex Azar advises that the department will weigh in on the contentious plan once Idaho makes its decision.
In early December, Triple-S Advantage discovered that notices sent in November to providers involved in the treatment the insurer's members were mailed to the wrong address.
Piedmont Hospital has brought a lawsuit saying the insurer has breached their contract in not paying for some MRI and CT scans.
A deposition reveals former medical director never looked at patient medical records, but Aetna says correct guidelines were followed.
The payer and the claims administrator hired to execute a mailing are accusing each other of negligence and failing to protect members' private health information.
Molina also said that a contracting consultant for the department had "financial ties" to a company affiliated with the winning bidder.
The first enforcement settlement of the year follows an OCR investigation of Fresenius Medical Care North America that began in 2013 after a string of breaches in its clinics across the U.S. the prior year.
The U.S. Court of Appeals on Tuesday accepted a request by the American Hospital Association and five other healthcare groups for an expedited brief schedule.
Brenda Fitzgerald bought stock in Japan Tobacco in August 2017, one month into her tenure as the agency's director.
Seeking class action status, the suit claims CMS Administrator Seema Verma, acting HHS Secretary Eric Hargan and others bypassed legislative processes.