Skip to main content

Compliance & Legal

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.
By Susan Morse | 11:13 am | March 04, 2026
Minnesota AG Keith Ellison and Gov. Tim Waltz were called to testify today before the House Committee on Oversight and Government Reform.
By Susan Morse | 11:17 am | February 26, 2026
The decision is part of a crackdown on fraud to prevent payment of questionable claims while further investigation is completed, HHS says.
By Susan Morse | 10:15 am | February 26, 2026
Eliminating seven childhood vaccines from their recommended status will make children sicker and strain state resources, court documents say.
By Susan Morse | 11:20 am | February 25, 2026
Emblem will establish a restitution process to repay members who paid out-of-pocket for mental health services because they were unable to find an in-network provider.
By Susan Morse | 11:07 am | February 24, 2026
The contract restrictions prevent consumers from choosing lower-cost health plans, lawsuit says.
By Susan Morse | 11:02 am | February 09, 2026
HHS could potentially restart the administrative process for such a program.
By Susan Morse | 10:13 am | February 05, 2026
A lawsuit alleged Express Scripts' conduct resulted in artificially inflated insulin drug prices.