Aetna Settles $117.7 Million in Medicare Advantage False Claims Act Allegations
Aetna agrees to $117.7 million settlements over Medicare Advantage claims, highlighting the need for compliance in healthcare risk adjustment practices.
Key Priorities for Enforcing the False Claims Act at the Qui Tam Conference
Explore the DOJ's priorities on the False Claims Act and its implications for healthcare and compliance practices at the Qui Tam Conference.
Regulatory Updates Transforming Telehealth Insurance Compliance
Explore the latest regulatory updates transforming telehealth insurance. Learn key compliance strategies and stay ahead of upcoming legislative changes to protect your practice.
Understanding Life Insurance Impacts of New York's Medical Aid in Dying Law
Explore how New York's medical aid in dying legislation affects life insurance payouts and policyholder protections. Understand compliance and claims management.
CMS Updates on Medicare Drug Price Negotiation and 340B Rebate Litigation
CMS announces changes to Medicare drug price negotiations; ongoing litigation surrounds 340B rebate model and state drug pricing laws, affecting Medicare Advantage plans and Part D reimbursement.
Federal Contraceptive Mandate Exemptions for Little Sisters of the Poor Persist Through Court Battles
Explore ongoing court battles over ACA contraceptive mandate exemptions for the Little Sisters of the Poor and implications for religious groups in health insurance compliance.
Delaware Legal Challenge Emerges Against New Medical Aid-in-Dying Law
Delaware's new medical aid-in-dying law faces federal lawsuit over disability rights and constitutional claims, impacting healthcare and insurance compliance.
NYU Langone Health Joins Lawsuit Challenging Medicare DSH Funding Cuts
NYU Langone Health and other hospitals sue HHS over Medicare DSH funding changes that reduce federal support for low-income patient care, challenging retroactive rule application and regulatory process.
Crowell & Moring Expands Healthcare Litigation Team, Boosts Nationwide Reach
Crowell & Moring expands its healthcare litigation practice with 16 partners from Reed Smith, enhancing nationwide legal services across managed care and healthcare law.
Federal Court Boosts Alignment Healthcare's Medicare Advantage Star Rating to 4 Stars
Federal court ruling increases Alignment Healthcare's Arizona Medicare Advantage HMO star rating from 3.5 to 4 stars, enhancing plan quality recognition and CMS bonus eligibility.