Compliance & Legal
The $600M in no-cost and discounted technology products and services will also aid in the broader modernization of Medicaid systems, CMS says.
DOJ had alleged that the Kaiser affiliates violated the False Claims Act by submitting invalid diagnosis codes to get higher government payments.
As the number of mental health AI chatbots grows, Numerof and Associates' Michael Abrams warns that without rigorous testing and validation these largely unregulated tools may pose real risks to patients.
Members of the health system's Board of Trustees have sued over the Maimonides takeover by NYC Health + Hospitals.
The CMS program known as the Wasteful and Inappropriate Service Reduction (WISeR) model requires PA for 17 services, but Carol Howard, VP of innovation and adoption at Janus Health, says she can see it expanding before the end of the pilot period.
Solicitor General D. John Sauer is urging the Supreme Court to deny AstraZeneca’s petition to hear the constitutionality of the case.
Reviewers looked at how the company manages patient care and, reportedly, prior authorization requests by healthcare providers.
The Oklahoma AG says the PBM paid pharmacies less for drugs than what the medications cost.
Providers in the six states of the pilot will need to do advanced administrative processing to ensure claims are approved, says Jeff Ladner, chief product officer at Onspring.
The AG wants a restraining order against marketing Tylenol as safe during pregnancy and stop a dividend payout.