‘Modern gangsters’: Ohio sues 3 PBMs for alleged price fixing
(By Andrew Cass for Becker’s Hospital Review) The Ohio attorney general’s office has filed a lawsuit against three pharmacy benefit
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Illegal Activities
Medicare Advantage plans face significant risks of fraud, OIG says
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans should be aware of fraudsters turning their efforts to private
Read MoreInsurers accused of offering ‘lavish vacations’ to brokers for selling Medigap plans
(By Rylee Wilson for Becker’s Hospital Review) Lawmakers are urging increased oversight of incentives offered to brokers selling Medigap plans,
Read MoreNursing Home Owners Drained Cash During Pandemic While Residents Deteriorated
(By Jordan Rau for Kaiser Health News) After the nursing home where Leann Sample worked was bought by private investors,
Read MoreHow Medicare Advantage plans dodged auditors and overcharged taxpayers by millions
(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage
Read MoreKHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken
(By Sarah Jane Tribble and Lauren Weber for Kaiser Health News) The federal system meant to stop health care business
Read MoreLawmaker investigating Medicare Advantage marketing tactics
(By Andrew Cass for Becker’s Hospital Review) Senate Finance Committee Chairman Ron Wyden has launched a probe into potentially deceptive
Read MoreMore than $5B recovered from healthcare false claims: 5 things to know
(By Kelly Gooch for Becker’s Hospital Review) The Justice Department obtained more than $5.6 billion in fraud and false claims
Read MoreCallers pretend to be SSM Health in latest insurance scam
(By Nick Moran for Becker’s Hospital Review) St. Louis-based SSM Health and Dean Health Plan are warning patients of efforts
Read MoreOfficials Struggle to Regulate Pop-Up Covid Testing Sites — And Warn Patients to Beware
(By Michelle Andrews for Kaiser Health News) NEW YORK — In recent months, mobile covid-19 testing tents and vans have
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