Medicare & Medicaid
The purchase price for the transaction, net of certain tax benefits, is reduced from $510 million to approximately $425 million.
The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on its AI model's "highly inaccurate" recovery predictions.
Of the roughly 1.1 million enrollees who have opioid use disorder, just 18% receive medication to treat it, OIG said.
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.
HHS also released the names of the first 10 drugs under Part D selected for Medicare drug price negotiations.
The group said high levels of market concentration is leaving millions of Americans with limited competitive options for health insurance.
The groups claim the advertising fails to tell people about what they lose when they make the switch to Medicare Advantage.
A combined company would rival the size of juggernauts such as UnitedHealth Group and CVS Health.
Tests may be ordered starting in early December, with the CDC anticipating a moderate COVID-19 wave.
Final rule aims to ensures better alignment and coverage parity between traditional Medicare and MA and increases oversight of MAOs.