PBMs take Tennessee, Illinois to federal court over pharmacy laws
(By: Elizabeth Casolo for Becker’s Hospital Review ) The Pharmaceutical Care Management Association, a trade group for pharmacy benefit managers,
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Lawsuit
CMS recalculates MA star ratings payments in wake of Clover lawsuit
(By: Elizabeth Casolo for Becker’s Hospital Review ) CMS is “voluntarily recalculating” 2027 Medicare Advantage quality bonus payment ratings, based
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Health systems sue CVS over alleged $250M 340B scheme
(By: Alan Condon for Becker’s Hospital Review ) Three health systems have filed federal lawsuits against CVS Health, alleging the
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Humana hit with class action lawsuit over tobacco surcharges
(By: Elizabeth Casolo for Becker’s Hospital Review ) A former Humana employee filed a class-action lawsuit March 17 alleging the
Read MoreCVS, Express Scripts sue over Arkansas PBM law
(By: Alexandra Murphy for Becker’s Hospital Review ) CVS Health and Express Scripts, two of the nation’s largest pharmacy benefit
Read MoreCigna settles lawsuit over COVID-19 testing for $2.9M
(By Jakob Emerson for Becker’s Hospital Review ) Cigna has agreed to pay $2.9 million to settle a class-action lawsuit
Read MoreFlorida Blue latest to sue over Medicare Advantage star ratings
(By Rylee Wilson for Becker’s Hospital Review ) Florida Blue is the latest insurer to sue CMS over its Medicare
Read MoreAnother system faces lawsuit over patient information allegedly shared with Facebook
(By Mariah Taylor for Becker’s Hospital Review ) Philadelphia-based Jefferson Health is the latest system to face a class action
Read MoreMisleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges
(By Julie Appleby for KFF Health News) The government is giving away money! So say ads on a variety of
Read MoreLawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers
(By Julie Appleby for KFF Health News) A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance
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