In the largest HIPAA settlement ever, Anthem will pay the federal government $16 million over its 2015 data breach that affected nearly 79 million people.
The four men and their companies were indicted for attempting to defraud insurers by overbilling for various prescriptions.
New Jersey's attorney general says insurance giant Aetna has agreed to pay a $365,000 fine for violating the privacy of thousands of policyholders in the state in two separate mailings.
Five doctors, a pharmacist and three medical assistants were among 10 defendants charged with taking in more than $5 million by illegally prescribing millions of oxycodone pills to patients, including apparent drug addicts, who had no legitimate medical need for them.
The inspection by CMS follows a Monday Crain's article raising infection control and instrument cleaning issues at the DMC.
Colorado's and Mississippi's Medicaid programs have ordered hospitals to report which medications they receive 340B discounts for, marking the latest effort to curb state drug spending.
Humana agreed to pay Texas a $700,000 fine for failing to maintain an adequate number of in-network anesthesiologists at its contracted hospitals in four counties, which led to patients receiving surprise out-of-network bills.
The top Republican on the Senate Judiciary Committee has asked the Federal Trade Commission to look into potentially anti-competitive contracts between hospital systems and insurers that limit plan coverage for enrollees.
Wholesale drug distributor AmerisourceBergen agreed to pay federal and state governments $625 million for illegally distributing misbranded drugs, including pre-filled cancer syringes.
DaVita Medical Holdings paid the U.S. Justice Department $270 million to settle allegations that it used improper Medicare Advantage billing practices that led to inflated payments.
Medicare Advantage plans could be denying claims to maximize profits, according to a new HHS Office of Inspector General report. Insurance companies overturned 75% of their own denials after an appeal was filed between 2014 and 2016.
The U.S. Management of medicine Accountability Office found that HHS did not violate lobbying laws by producing and posting videos on social media where citizens called for repealing the Affordable Care Act.