BCBS Reaches $2.8 Billion Settlement to Resolve Antitrust …
Dec 17, 2024 · Blue Cross Blue Shield (BCBS) – with 33 of its member companies – recently reached a proposed settlement, agreeing to pay $2.8 billion to settle allegations that BCBS …
CMS 2025 Physician Fee Schedule Includes 2.9 Percent Pay Cuts …
Dec 23, 2024 · The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS) and …
Walgreens Reaches $106.8 Million False Claims Act Settlement …
Nov 14, 2024 · Walgreens Boots Alliance Inc. and Walgreen Co. (collectively, “Walgreens”) agreed to pay $106.8 million in two settlements (here and here) to resolve allegations that …
CVS Subsidiary Reaches $60 Million Settlement Over False Claims …
Nov 11, 2024 · Oak Street Health, a wholly-owned subsidiary of CVS Health since 2023, has agreed to pay $60 million to resolve allegations that it violated the False Claims Act (FCA) by …
Fifth Circuit Affirms Lower Court’s Decision to Vacate Certain …
Dec 4, 2024 · Appeals Court. In a 3-0 decision, the Fifth Circuit affirmed the district court’s nationwide vacatur of the challenged IDR rules. The appeals court specifically reviewed the …
Reevaluating the RUC Committee: Addressing Specialty …
Nov 13, 2024 · The shortage of primary care providers across the United States leaves patients struggling to access preventive and primary care services. As highlighted in a recent article by …
January 2, 2025 – Policy & Medicine
Jan 2, 2025 · Legal, Regulatory, and Compliance Issues. The Centers for Medicare and Medicaid Services (CMS) found that Accountable Care Organizations (ACOs) and the Medicare Shared…
CMS Makes Changes to the ACO REACH Model for Performance …
Sep 24, 2024 · The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including adjusting the financial methodology and …
Teva Pharmaceuticals Fined €462.6 Million Over Anti-Competitive ...
Nov 5, 2024 · On October 31, 2024, the European Commission issued a fine of €462.6 million to Teva Pharmaceuticals, citing abuse of its market dominance by delaying competition for …
January 17, 2025 – Policy & Medicine
Jan 17, 2025 · Legal, Regulatory, and Compliance Issues. In the final days of the Biden administration the Drug Enforcement Administration (DEA) has issued new regulations on who …