Vermont Sen. Bernie Sanders and Oregon Sen. Ron Wyden are seeking information from MultiPlan after an April 7 New York Times report found that major insurers made millions in fees by using the data analytics firm to determine how much…
Legal & Regulatory Issues
The Medical Group Management Association said that as the number of Medicare Advantage beneficiaries continues to grow, "it is imperative that the MA program ensures adequate and transparent coverage to patients, timely payment to medical groups and remains a viable…
On May 28, representatives from three states introduced a federal bill to amend the 340B program by recognizing contract pharmacies, restricting pharmacy benefit managers and tightening eligibility criteria.
DuBois, Pa.-based Penn Highlands Healthcare has agreed to pay the federal government $735,000 to resolve a whistleblower suit alleging Physician Self-Referral Law violations from claims submitted to Medicare and Medicaid.
Two former high-ranking employees have filed a False Claims Act complaint against Chattanooga, Tenn.-based Erlanger Health System.
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Louisiana is the first state to define medication abortion, an FDA-approved two-drug regimen, as a controlled substance, meaning possession of unprescribed abortion pills can lead to imprisonment.
A Fredericksburg, Texas physician was convicted for causing the submission of more than $70 million in fraudulent claims to Medicare for medically unnecessary orthotic braces and genetic tests ordered through a telemarketing scheme.
A debated Florida law that allows physicians to perform cesarean deliveries outside of hospitals came about after backing by a private equity-owned physicians group, according to KFF Health News.
Newport News (Va.) police are investigating an apparent murder-suicide that took place at Riverside Regional Medical Center on May 26.
A physician was convicted by a Nevada federal jury for his role in a nearly $2 million Medicare and Medicaid fraud scheme.