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By Susan Morse | 10:48 am | April 15, 2026
The complaint alleged corruption by HaloMD, a company that handles the arbitration process for medical billing disputes.
By Susan Morse | 10:56 am | April 10, 2026
Nineteen states and D.C. are seeking to invalidate a March 2025 directive to reduce the number of HHS employees and eliminate several sub-agencies.
By Susan Morse | 10:46 am | April 09, 2026
Aetna's policy results in denials and underpayment and violates CMS' Two Midnight Rule, the health system says.
By Susan Morse | 11:14 am | April 02, 2026
The hospitals want DSH calculations changed back to a pre-2004 standard and payment of additional amounts, plus interest.
By Susan Morse | 10:47 am | March 27, 2026
The large New York City hospital system used its market power to restrict contacts with insurers, insulating it from price competition, or "erosion of rates of payment," says DOJ.
By Susan Morse | 11:16 am | March 25, 2026
FTC reached a settlement with Express Scripts in February and is currently in negotiations with OptumRx.
By Susan Morse | 10:54 am | March 24, 2026
The task force may expand to include HHS and DOJ members in an integrated approach to enforcement and to preserve competition, FTC says.
By Susan Morse | 10:53 am | March 19, 2026
The states are forcing health plans to provide coverage for abortions as a condition of offering coverage in the state, OCR says.
By Susan Morse | 11:09 am | March 18, 2026
Preliminary injunction also stays the appointment of 13 members of ACIP and halts all votes taken by the committee.
By Susan Morse | 10:23 am | March 16, 2026
A whistleblower, a former Aetna risk-adjustment coding auditor, will receive $2 million.