2024年12月17日 · 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 plans violated antitrust laws by suppressing competition and underpaying providers for reimbursements from July 2008 to October 2024.This class action proposed settlement represents the largest antitrust payout to be awarded ...

2025年1月8日 · 2025 will be a busy year for healthcare. Here is a list of healthcare conferences and links to registration. Special thanks to Peter Grant and Global Healthcare LLC (GHC) for providing the initial list. Digital Health Summit @ CES 2025January 7-10,

On October 8, 2024, PhRMA held a media briefing to address growing concerns over the Inflation Reduction Act (IRA) and its effects on the biopharmaceutical industry, Medicare Part D beneficiaries, and future drug innovations. Leading the discussion w

2024年9月24日 · The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including adjusting the financial methodology and strengthening the operational flexibility and risk management. Some of the announced changes are below. Benchmarks. One such change relates to the benchmark blend of historical/regional expenditures for standard ACOs.

2024年11月11日 · 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 paying kickbacks to third party insurance agents in exchange for their recruiting of seniors to Oak Street Health’s primary care clinics.. The United States alleged that prior to CVS’ ownership, in 2020, Oak Street Health ...

2024年12月23日 · 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 Other Revisions to Medicare Part B Final Rule, which includes proposals related to Medicare physician payments and the Quality Payment Program (QPP). Under the Final Rule, average payment rates under the PFS will be reduced by 2. ...

2025年1月15日 · Legal, Regulatory, and Compliance Issues. The Federal Trade Commission (FTC) released its second interim staff report “Specialty Generic Drugs a Growing Profit Center for…

6 天之前 · Legal, Regulatory, and Compliance Issues. Sometime in the future, as you are watching your favorite television show or sporting event, amongst the DTC ads featuring…

2025年1月19日 · Welcome to this week’s edition of “This Week in Policy and Medicine, January 19, 2025,” your trusted source for the latest insights and updates from the intersection of healthcare policy and medicine. You can also find our episodes on Spotify and other favorite podcast platforms.. DEA Issues New Regulations on Prescribing Controlled Substances. The DEA has introduced stringent ...

2025年1月5日 · Welcome to another edition of our weekly roundup, where we dive into the most pressing legal, regulatory, and policy updates that are shaping the healthcare and medicine landscape. This information is also available on our podcast on Spotify.Here a