smorse

Anthem last year was required pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the industry.

The spread amount must be included in the calculation of medical loss ratios that managed Medicaid and CHIP plans use to set premium rates, CMS says.

An estimated 160,000 lives are lost annually from avoidable medical errors, an improvement over 2016 which saw 205,000 avoidable deaths.

Testimony is expected to center on the impact of the merger on pharmacy benefit management markets, judge says.

Precision medicine tailors care, but it requires technology and interpreting genetic data, complexities that present a roadblock for physicians.

Teva colluded with 20 competitors on 86 generic drugs to avoid price erosion and keep inflated prices high, lawsuit says.

The DOJ and CVS Health are seeking to block certain testimony they say is outside the scope of review.

Study recommends employers pressure health plans and hospitals to shift to contracts based on a multiple of Medicare or other prospective case rates.

AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.