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Healthcare regulatory, compliance and policy news

Becker’s reports on healthcare fraud enforcement, new CMS and state regulations, and what each changes for billing, licensure and clinical operations.



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President Donald Trump released a sparsely detailed healthcare policy framework Jan. 15 that calls on Congress to codify voluntary drug pricing agreements with major pharmaceutical companies, direct payments to Americans over extending enhanced ACA subsidies, and expand price transparency requirements…

The Department of Homeland Security has issued a subpoena to Minneapolis-based Hennepin Healthcare for employee I-9 forms, the health system confirmed to Becker’s. The subpoena, issued Jan. 8, authorizes federal officials to inspect I-9 forms, which are documents used to…

After federal judges blocked HHS’ 340B rebate pilot program from taking effect Jan. 1, HHS is discussing whether to reconsider the drug manufacturers’ plans, according to court documents.  On Jan. 7, an appeals court upheld a lower court decision to…

A federal judge has ordered HHS to restore nearly $12 million in grant funding to the American Academy of Pediatrics, finding the agency’s decision to abruptly terminate the awards in December was likely retaliatory. On Jan. 11, U.S. District Judge…

A Florida insurance brokerage executive was sentenced to prison for his role in a $133 million scheme and a healthcare software company CEO was sentenced to prison for his role in a $1 billion scheme. Here are 10 healthcare billing…

House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…

Anthem Blue Cross is suing 11 Prime Healthcare hospitals in California, accusing them of defrauding the insurer by “knowingly flooding” the No Surprises Act’s independent dispute resolution process with thousands of claims they knew were ineligible for arbitration. The complaint,…

Juries are increasingly awarding “nuclear verdicts,” or those surpassing $10 million, in medical malpractice lawsuits, according to the American Medical Association.  The average amount of the top 50 medical malpractice verdicts has significantly increased in recent years, the AMA said…

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