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publication date

Pharma
CA AG Sues Insulin Makers, PBMs for Price Gouging
John Commins | January 12, 2023
Eli Lilly, Novo Nordisk, Sanofi, CVS Caremark, Express Scripts, and OptumRx are accused of overcharging patients.
Post-Acute
Settlement Reached in New York Home Health Agency Medicaid Fraud
Jasmyne Ray | December 21, 2022
In addition to fraud, the Brooklyn-based agency was also cited for cheating aides out of their wages.
Payer
3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
John Commins | December 08, 2022
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Pharma
35 AGs Back OK's Authority to Regulate PBMs
John Commins | November 01, 2022
The PBM lobby has called the states' push for oversight "both misplaced and irrelevant."
Payer
DOJ sues Cigna for Medicare Advantage Overpayments
Laura Beerman | October 24, 2022
The Justice Department is intervening in a whistleblower lawsuit, first filed in 2017.
Payer
3 Reasons Why Blue Shield of California Is Suing DHCS
Laura Beerman | October 13, 2022
The insurer, which just filed suit in California's State Superior Court, was one of four to appeal the state's recent...
Payer
Blue Shield of California Campaigns Against Medi-Cal 'Failed' Contracting Process
John Commins | October 12, 2022
The payer has complained that the skewed process has allowed the state to award contracts to 'national, for-profit companies beholden...
Post-Acute
AARP Files Class Action Lawsuit Against Nursing Home Provider for Neglecting Residents
Jasmyne Ray | September 29, 2022
The Alden Group, a healthcare provider for older adults, is being accused of intentionally understaffing their facilities.
Human Resources
Healthcare Staffing Agency Agrees to Pay $9.3M in Overtime Wages
Carol Davis | September 28, 2022
U.S. Medical Staffing of Philadelphia 'willfully denied' healthcare aides and assistants their rightful pay, U.S. Labor Department says.
Revenue Cycle
Medical Groups Renew Challenge to IDR Provision of Surprise Billing Rule
Jay Asser | September 28, 2022
Providers are still unhappy with the government's final rule regarding the No Surprises Act's independent dispute resolution (IDR) process.
Strategy
California's Borrego Health Files Chapter 11, Vows to Keep Clinics Open
John Commins | September 20, 2022
The clinic says it will also ensure that employees will get their pay and benefits.
Payer
AMA, State Medical Societies Join Class Action Lawsuit Against Cigna
Jay Asser | September 13, 2022
The groups allege the health insurer underpaid claims submitted by patients for services covered through MultiPlan.
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