StrategyAHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
Billions of dollars at stake as high court takes up central tenets of the FCA.
Revenue CycleHow Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Internal documents and former company executives reveal how Cigna doctors reject patients' claims without opening their files. "We literally click...
Revenue CycleBiden administration urged to take more aggressive steps to relieve medical debt
Stakeholders call for new federal rules that among other things would prohibit debt for medically necessary care from appearing on...
MarketingUPMC Will Pay $8.5M to Settle False Claims Allegations; Separate 'Sordid Vendetta' Defamation Suit Continues
The settlement is the latest development in an ongoing, bitter feud between former colleagues who've traded accusations of drug abuse...
FinanceNon-profit Ascension CEO Pressed to Detail For-profit Investments, Community Benefit
Wisconsin Sen. Tammy Baldwin wants answers on Ascension's private equity investments, executive pay, charity care, staff shortages and 'conflicting priorities'.
NursingWhy Are Nurses No. 1 in Honesty, Ethics? Because They’re All About the Patients
Annual Gallup poll has ranked nursing as America?s most-trusted profession for 21 consecutive years.
PayerCentene to Pay $215M to Resolve Medi-Cal Drug Overcharges
Centene admits no wrongdoing in the settlement, but will pay back twice the value of its inflated price reporting.
PharmaBipartisan Senate Bill Aims to Curb Drug Patent Abuse
The bill 'puts an end to practices that prioritize profits for pharmaceutical companies ahead of Americans' health.'
Post-AcuteNursing Home Owners Drained Cash During Pandemic While Residents Deteriorated
Some nursing home owners moved money from their facilities through corporate arrangements that are widespread, and legal, in every state.
PayerGovernment Lets Health Plans That Ripped Off Medicare Keep the Money
Payers have long feared CMS would demand repayment of billions of dollars in overcharges.
PayerJury Finds ENT Doc Guilty of Reusing Disposable Sinuplasty Devices, Related Fraud Charges
Anita Louise Jackson, MD, faces up to 20 years in prison when she is sentenced later this year.
PharmaBernie Blasts 'Unacceptable Corporate Greed' As Moderna Mulls 4X Price Hike for COVID Vax
Quadrupling the price of COVID-19 vaccine would make it too expensive for millions of Americans, the Vermont Independent says.