medical ethics
publication date
Payer
Florida's Deloitte-Run Computer System Cut Off New Moms Entitled to Medicaid
A class-action lawsuit alleges that Florida did not explain to people with Medicaid the reasons for disenrollment and their rights...
Payer
How UnitedHealth's Playbook for Limiting Mental Health Coverage Puts Countless Americans' Treatment at Risk
The company's continued use of a controversial algorithm exposes flaws in how private payers are regulated.
Payer
KFF Health News Sues to Force Disclosure of Medicare Advantage Audit Records
Lawyers for KFF say the information is 'critically important to public oversight of government misspending.'
Pharma
PBM Math: Big Chains Are Paid $23.55 To Fill a Blood Pressure Rx. Small Drugstores? $1.51.
Chains are paid well beyond family businesses for many of the same medications.
CEO
TN Tries to Rein In Ballad's Hospital Monopoly After Years of Problems
Despite patient reports of poor quality, Tennessee has given 'A' grades and annual stamps of approval to Ballad that allow...
CFO
At Catholic Hospitals, a Mission of Charity Runs Up Against High Care Costs for Patients
Several large nonprofit Catholic health systems spend far less on community benefits such as free or discounted care than the...
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.