GAO To Launch Investigation Of FDA’s Orphan Drug Program
(By Sarah Jane Tribble for Kaiser Health News) Acting on a request from three influential U.S. senators, the government’s accountability
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Legal Actions/Court Decisions
CMS delays major bundled payment initiatives: 6 things to know
(Ayla Ellison For Becker’s Hospital Review) CMS issued an interim final rule Monday that delays implementation of cardiac care bundled
Read MoreFour Insurers Investigated
The U.S. Justice Department has disclosed an investigation in four leading health insurers after a lawsuit accused them of defrauding
Read MoreTop 10 states for Medicaid fraud recoveries
(By Ayla Ellison for Becker’s Hospital Review) Medicaid Fraud Control Units were responsible for 1,564 convictions and had $1.8 billion
Read MoreCMS fines UnitedHealthcare $2.5M over improper Medicare denials, delays
(By Morgan Haefner for Becker’s Hospital Review) CMS fined Minnetonka, Minn.-based UnitedHealthcare $2.5 million after an audit found systemic compliance
Read MoreSwab as many people as possible’: Genetic lab pays doctors to push dubious tests, employees say
(By Charles Piller for STAT) For doctors, the brochure1 from a California medical laboratory sounded like easy money: $30 for
Read MorePlateauing
The term “plateauing” is applied to a condition wherein a Medicare beneficiary in need of skilled medical services is improperly
Read MoreOvercharged Medicare
Along with a whistleblower, the U.S. Justice Department has joined the lawsuit against UnitedHealth Group Inc. that claims the insurer,
Read More4 key events since judge blocked Anthem-Cigna deal
(By Morgan Haefner for Becker’s Hospital Review) A U.S. District Court judge sided with the Justice Department Feb. 8 and blocked Indianapolis-based
Read MoreFirst Amendment versus Second Amendment
On Thursday, the 11th U.S. Circuit Court of Appeals ruled that Florida’s so called “Docs and Glocks” law violated a
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