Aetna sues COVID-19 testing companies, alleges fraud Aetna sues COVID-19 testing companies, alleges fraud Aetna sues COVID-19 testing companies, alleges fraud

Aetna sues COVID-19 testing companies, alleges fraud

Open MRI and Imaging of RP and Vestibular Diagnostics are involved in similar lawsuits with Cigna and Horizon Blue Cross Blue Shield.

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U.S. overdose deaths topped 100,000 in one year, officials sayU.S. overdose deaths topped 100,000 in one year, officials sayU.S. overdose deaths topped 100,000 in one year, officials say

U.S. overdose deaths topped 100,000 in one year, officials say

An estimated 100,000 Americans died of drug overdoses in one year, a never-before-seen milestone that health officials say is tied to the COVID-19 pandemic and a more dangerous drug supply.

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CMS final rule officially delays best price requirement for drugmakersCMS final rule officially delays best price requirement for drugmakersCMS final rule officially delays best price requirement for drugmakers

CMS final rule officially delays best price requirement for drugmakers

U.S. territories will have until April 1, 2022 to decide whether or not to join the Medicaid Drug Rebate Program.

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Patients get stranded out of network as insurer-hospital contract talks fall apartPatients get stranded out of network as insurer-hospital contract talks fall apartPatients get stranded out of network as insurer-hospital contract talks fall apart

Patients get stranded out of network as insurer-hospital contract talks fall apart

The severed contract between a hospital system and health insurer reflects tensions that have been growing nationally this year.

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Feds require health plans to report drug, coverage costs under new ruleFeds require health plans to report drug, coverage costs under new ruleFeds require health plans to report drug, coverage costs under new rule

Feds require health plans to report drug, coverage costs under new rule

The Health and Human Services Department plans to use the data to analyze drug pricing trends.

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Ribbon Health brings in nearly $44 million in fundingRibbon Health brings in nearly $44 million in fundingRibbon Health brings in nearly $44 million in funding

Ribbon Health brings in nearly $44 million in funding

Ribbon Health promises to help providers, insurers and other healthcare organizations improve their businesses by supplying real-time, up-to-date information about clinicians.

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Congress targets uncompensated care pools in non-expansion statesCongress targets uncompensated care pools in non-expansion statesCongress targets uncompensated care pools in non-expansion states

Congress targets uncompensated care pools in non-expansion states

The $1.75 trillion domestic policy package being considered by Congress would limit payments for uncompensated care to states that have not expanded Medicaid.

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Adventist, Memorial Sloan Kettering say VisitPay deals don't equal outsourcingAdventist, Memorial Sloan Kettering say VisitPay deals don't equal outsourcingAdventist, Memorial Sloan Kettering say VisitPay deals don't equal outsourcing

Adventist, Memorial Sloan Kettering say VisitPay deals don't equal outsourcing

R1's health system clients have been known to outsource employees to the revenue-cycle management company.

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Air ambulance trade association sues feds over surprise billing lawAir ambulance trade association sues feds over surprise billing lawAir ambulance trade association sues feds over surprise billing law

Air ambulance trade association sues feds over surprise billing law

The "overreaching" HHS interim final rules would give insurers too much power in the arbitration process, according to the complaint.

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Sanford Health's $49 million payout to its former CEO, explainedSanford Health's $49 million payout to its former CEO, explainedSanford Health's $49 million payout to its former CEO, explained

Sanford Health's $49 million payout to its former CEO, explained

Most of Kelby Krabbenhoft's big payout was from a generous retirement plan he'd been building for more than 20 years. Such plans are rarely used among health systems anymore.

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