Compliance & Legal

The owner of more than 30 Miami-area skilled nursing and assisted living facilities, a hospital administrator and a physician's assistant were charged with conspiracy, obstruction, money laundering and healthcare fraud in connection with a $1 billion scheme involving numerous Miami-based providers, the United States Department of Justice announced.

Indiana Gov. Mike Pence is in the spotlight this week as the man Donald Trump has picked to be his running mate. Pence's decisions about health and health care in Indiana have drawn attention from within and outside the state. His record could be important in November, because Trump doesn't have a legislative record at all.

Anthem and Aetna plan to pursue in court the Department of Justice's injunction to block their respective mergers with Cigna and Humana, according to statements from both insurers.

While sources have said they expect a decision in August, Bloomberg said the DOJ could file the lawsuits this week or next.

Red Oak claims self-insured or fully insured companies and their coverage plans administered by UnitedHealthcare have conspired to embezzle funds through a process called recoupment.

Humana stock fell by 9 percent last week and a recent report gives the merger a 50/50 chance of happening.

The Centers for Medicare and Medicaid Services announced Thursday that it has barred Theranos founder and CEO Elizabeth Holmes from the blood-testing business for two years, according to a statement on the company's website.

Proposal would eliminate any potential financial pressure clinicians may feel to over-prescribe pain medications, especially opioids.

Many clinicians report feeling pressure to overprescribe opioids because scores on the pain management questions are tied to Medicare payments.

Anthem and its pharmacy manager Express Scripts overcharged patients with job-based insurance for prescription drugs, alleges a lawsuit that seeks class action status for what could be tens of thousands of Americans.