PharmaCA AG Sues Insulin Makers, PBMs for Price Gouging
Eli Lilly, Novo Nordisk, Sanofi, CVS Caremark, Express Scripts, and OptumRx are accused of overcharging patients.
Post-AcuteSettlement Reached in New York Home Health Agency Medicaid Fraud
In addition to fraud, the Brooklyn-based agency was also cited for cheating aides out of their wages.
Payer3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Pharma35 AGs Back OK's Authority to Regulate PBMs
The PBM lobby has called the states' push for oversight "both misplaced and irrelevant."
PayerDOJ sues Cigna for Medicare Advantage Overpayments
The Justice Department is intervening in a whistleblower lawsuit, first filed in 2017.
Payer3 Reasons Why Blue Shield of California Is Suing DHCS
The insurer, which just filed suit in California's State Superior Court, was one of four to appeal the state's recent...
PayerBlue Shield of California Campaigns Against Medi-Cal 'Failed' Contracting Process
The payer has complained that the skewed process has allowed the state to award contracts to 'national, for-profit companies beholden...
Post-AcuteAARP Files Class Action Lawsuit Against Nursing Home Provider for Neglecting Residents
The Alden Group, a healthcare provider for older adults, is being accused of intentionally understaffing their facilities.
Human ResourcesHealthcare Staffing Agency Agrees to Pay $9.3M in Overtime Wages
U.S. Medical Staffing of Philadelphia 'willfully denied' healthcare aides and assistants their rightful pay, U.S. Labor Department says.
Revenue CycleMedical Groups Renew Challenge to IDR Provision of Surprise Billing Rule
Providers are still unhappy with the government's final rule regarding the No Surprises Act's independent dispute resolution (IDR) process.
StrategyCalifornia's Borrego Health Files Chapter 11, Vows to Keep Clinics Open
The clinic says it will also ensure that employees will get their pay and benefits.
PayerAMA, State Medical Societies Join Class Action Lawsuit Against Cigna
The groups allege the health insurer underpaid claims submitted by patients for services covered through MultiPlan.