healthcare fraud
Sep 22, 2017 | Beth Jones Sanborn
Roberto A. Fernandez ran a seven-year scheme, took kickbacks, sold prescriptions for addictive opioids…
Anthem acquires MA network HealthSun
Sep 21, 2017 | Susan Morse
Acquisition helps position Anthem as a dominant player in a market projected to increase in enrollment, revenue, but…
Biosimilar policy revisions could save $11.4B
Sep 21, 2017 | Jeff Lagasse
The Biosimilars Council has urged CMS to revisit their payment and coding policy and provide unique…
Doctors, patients put cost blame on payers, pharma
Sep 19, 2017 | Jeff Lagasse
Most say payers should increase prices for those with poor health habits and offer affordable catastrophic…
Pharmacist convicted in $30M compound medication fraud
Sep 19, 2017 | Beth Jones Sanborn
Proceeds used to buy a $3.6 million mansion formerly owned by Dwayne "the Rock" Johnson, a…
Sep 18, 2017 | Jeff Lagasse
Despite fewer mandates, pediatric hospitals are bullish on how pay-for-quality can improve the health of their patients…
blockchain in healthcare payer and providers
Sep 18, 2017 | Mike Miliard
By giving patients control over their data, the technology could enable better privacy protections, more efficiency and easier…
340B discount program
Sep 18, 2017 | Sarah Jane Tribble, Kaiser Health News
A seemingly minor detail about 340B discount program in ACA has left rural pharmacists struggling to keep medicines in stock.
Providers, payers benefit by sharing data
Sep 14, 2017 | Susan Morse
Insurers provide the broader view on claims while hospitals have the deeper information on patient care through…
Sep 13, 2017 | Sarah Jane Tribble, Kaiser Health News
The agency confirmed FDA Commissioner Scott Gottlieb's modernization plan is part of a larger effort to increase…