accountability
publication date
Strategy
Will a 'National Patient Safety Board,' Modeled After the NTSB, Actually Fly?
Stakeholders warn that public reporting would compromise data integrity by leading hospitals to scrub records to hide bad events.
Pharma
Indivior, 42 AGs Reach $102M Suboxone Antitrust Settlement
The AGs had claimed that Invidior used 'product hopping' to block competition from generics for its opioid treatment drug.
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.
Marketing
GA Gov. Signs Law Banning 'Medical Title Misappropriation'
Peach State clinicians who violate it risk censure from their respective professional credentialing boards.
Revenue Cycle
Medicare Paid Providers $128M in Duplicate Payments for VA Care
Auditors blame CMS for failing to establish a data-sharing agreement with the VA.
Strategy
AHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
Billions of dollars at stake as high court takes up central tenets of the FCA.
Telehealth
BetterHelp to Refund $7.8M for 'Deceiving' Customers, Selling Mental Health Data on Social Media, FTC Says.
In a first-of-its-kind proposed action, the commission also issued an order banning the online counseling service from sharing consumers mental...
Payer
Government Lets Health Plans That Ripped Off Medicare Keep the Money
Payers have long feared CMS would demand repayment of billions of dollars in overcharges.
Pharma
Amgen Pressed for 'Voluntary Compliance' in Senate Pharma Tax Avoidance Probe
Lawmakers are examining strategies drugmakers use to shield billions of dollars in profits from U.S. corporate taxes.
Telehealth
Multistate AG Coaltion Urges Apple to Ensure Privacy of Third-Party Health Apps
In a letter to Apple CEO Tim Cook, the AGs say patient privacy has become a priority since the SCOTUS...
Payer
OIG: Medi-Cal Made $15.7M in Unallowable Capitation Payments
The California Department of Health Care Services agrees with the audit findings.
Payer
Blue Shield of California Campaigns Against Medi-Cal 'Failed' Contracting Process
The payer has complained that the skewed process has allowed the state to award contracts to 'national, for-profit companies beholden...