A small number of hospitals and health systems are turning to the courts to challenge Anthem's new policies restricting outpatient imaging and emergency department coverage. Attorneys and industry experts disagree on the cases' merits.
Illinois' governor has cut off Blue Cross & Blue Shield of Illinois from enrolling patients in the state's revamped Medicaid managed-care program, a blow to the dominant insurer.
A doctor, a patient recruiter and four pharmacists in metro Detroit have been indicted on charges ranging from the unlawful overprescribing of opioids to healthcare fraud.
The FDA's approval process for medical devices has been criticized for years for failing to catch problems with defective implants.
U.S. health officials are placing new restrictions on a permanent contraceptive implant that has been subject to reports of painful complications from thousands of women. But the metal implant called Essure will remain on the market.
The California attorney general's allegations that Sutter Health inflates healthcare prices could guide other states that aim to break up highly concentrated markets.
Omni Project Japan is suing the wholesale drug distributor McKesson on behalf of the federal government and 30 states for allegedly repackaging cancer drugs from single-use vials, leading to fraudulent payments and serious infections.
California's attorney general sued Sutter Health for alleged anticompetitive behavior, claiming it overcharged patients and forced insurers into "all or nothing" contracts that hindered low-cost health plan options.
The investigation is fueled, at least in part, by information gathered by a union that expressed concerns that some nonunion employers are gaining an edge by not offering the full amount of wages and benefits required by law.
The U.S. Justice Department settlement involves claims that Alere, which was acquired by Abbott Laboratories last year, sold its Triage-branded devices to hospitals from 2006 to 2012 despite customer complaints warning of erroneous results.
HHS' Office for Civil Rights is investigating Banner Health following a 2016 cyberattack that may have affected 3.7 million patients. The Phoenix-based not-for-profit system anticipates that it may receive negative findings and be fined.
The CMS may revoke Wake Forest Baptist Health's ability to bill Medicare after several patients received erroneous cancer diagnoses due to poor lab oversight.