The $16 million settlement stems from a series of attacks in 2014 and 2015 that potentially exposed the electronic health information of nearly 80 million people.
Private payers, including Blue Cross Blue Shield of Tennessee, were bilked out of about $174 million in the compounding pharmacy scam, which inflated prices for invalidly prescribed pain creams.
Aetna will pay New Jersey $365,000 to settle two separate patient confidentiality breaches, and Humana will pay Texas $700,000 for an inadequate network in Houston, Austin, and San Antonio.
Encroachment into the provider space is happening because traditional providers are failing to meet consumer demands on price, access, choice, and convenience.
Plaintiffs say clinicians at the Evanston, Illinois health system failed to recognize signs of fetal distress that led to oxygen deficiency and devastating brain injuries for a newborn.
The order follows a federal judge's ruling last month that CMS was still responsible for cost-sharing payments to Montana Health Co-op, even though Congress had refused to provide the funding.
