Susan Morse

Author's posts

CMS final rule holds ACOs harmless for suspect catheter billings

The Centers for Medicare and Medicaid Services has issued a final rule on Significant, Anomalous and Highly Suspect (SAHS) billing activity in the Medicare Shared Savings Program.
The final rule concerns financial calculations for 2023 urinary catheter…

Novo Nordisk CEO grilled on high prices of Ozempic and Wegovy

The Senate Committee on Health, Education, Labor and Pensions grilled Novo Nordisk’s CEO Lars Fruergaard Jørgensen on the company’s high price for its  weight loss drugs Ozempic and Wegovy in the United States compared to other countries.
Jørgensen nev…

FTC lawsuit claims rebate practices inflate insulin prices

The Federal Trade Commission has sued the three largest prescription drug benefit managers – Caremark Rx, Express Scripts and OptumRx

HIMSSCast: Investors are helping to drive climate change initiatives

EcoAct North America is an international climate consultancy focused on helping the private and public sectors measure their climate impacts and move towards sustainability.
It helps companies with ambitious targets, such as reducing emissions by 25%, …

Senate HELP Committee votes to hold Steward CEO in contempt

In an unanimous bipartisan vote on Thursday, the Senate Committee on Health, Education, Labor and Pensions held Steward Health CEO Dr. Ralph de la Torres in civil and criminal contempt for his failure to comply with a subpoena to appear before the comm…

HRSA warns Johnson & Johnson of consequences of 340B rebates

The Health Resources & Services Administration has sent a letter to Johnson & Johnson warning the company of the consequences if it proceeds with its planned 340B rebate proposal.

CHS to acquire 10 urgent care centers in Arizona

Community Health Systems’ subsidiary Northwest Urgent Care will acquire 10 Arizona urgent care centers from Carbon Health.
Northwest Urgent Care in Tucson, Arizona, is part of Northwest Healthcare’s integrated healthcare network serving Tucson and surr…

Steward CEO faces criminal contempt resolution by Senate committee

The Senate Help, Education, Labor & Pensions Committee is scheduled to meet in an executive session on Thursday at 10 a.m., on a Contempt Resolution against Steward Health CEO Dr. Ralph de la Torre.

Walgreens to pay $106.8 million to settle prescription billing claims

Walgreens has agreed to pay $106.8 million to resolve allegations that it billed the government for prescriptions never dispensed, according to the Department of Justice. 

HIMSSCast: How care collaboration impacts patients and providers

Emergency room physicians are familiar with patients who frequently return to their hospitals for care.
But ER physicians have little time to assess how many times that person has visited other ERs within the health system and no way to know if the pat…