medical ethics
publication date
Payer
Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition
Newly released court depositions show CMS officials repeatedly cited concerns about pressure from the industry.
Payer
Biden Administration Blocks Two Private Sector Enrollment Sites from ACA Marketplace
The unusual step comes as CMS is under the gun to curb unauthorized enrollment and switching of ACA plans by...
Marketing
The FDA Calls Them 'Recalls,' Yet the Targeted Medical Devices Often Remain in Use
From 2019 through 2023, there were 338 Class I medical device recalls, 164 of which were corrections and 174 of...
Payer
HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes
HealthSherpa, which has its own sales team, announced the new initiative ? called 'Member Defense Network' ? July 16.
Pharma
Amgen Plows Ahead With Costly, Highly Toxic Cancer Dosing Despite FDA Challenge
The heavier dosage allows AmGen to protect 75% of its revenue from the drug, which earned $200 million last year.
Payer
Biden Team's Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment
Fighting the problem presents tension for the administration: how to thwart the bad actors without affecting ACA sign-ups.
Pharma
FTC IDs 300+ 'Junk Patents' Among Drugmakers
The warning letters don't specify how the drugmakers are flouting patent regulations, or what criteria the FTC uses to make...
Payer
Millions Were Booted From Medicaid. The Insurers That Run It Gained Medicaid Revenue Anyway.
At least two of the five largest publicly traded companies selling plans have continued to increase revenue from the program.
Payer
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients' Cases Too Quickly. Cigna Threatened to Fire Her
Cigna tracks every minute that its staff doctors spend deciding whether to pay for healthcare. Dr. Debby Day said her...
Payer
Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers
Some consumers were switched multiple times or had duplicative policies.
Payer
When Rogue Brokers Switch People's ACA Policies, Tax Surprises Can Follow
Returns are getting rejected by the IRS and some people will have to pay more in taxes.
CEO
Northwell Health Dinged for $1M After 'Deceptively Advertising COVID-19 Testing Sites,' NY AG Says
New York's largest health system has refunded $400,000 to more than 2,000 patients, and will pay $650,000 in penalties to...