The National Association of Benefits and Insurance Professionals filed its complaint last week, challenging a moratorium that would bar first-time brokers from doing business on Affordable Care Act exchanges. While the lobby said it agrees fraud was occurring, it is asking a court to compel regulators to take a more targeted approach at a solution.
Presenting its case in an infographic, the American Medical Association says the clinical authority of artificial intelligence must be earned through evidence and demonstrated performance.
The lawsuits, filed by both sides, were complicated, involving claims of corporate espionage and defamation. The dispute has now been resolved with prejudice, though terms were not disclosed to the public.
Released Friday, the proposed rule is designed to comply with an act of Congress passed in February. Changes include regular audit requirements for Medicare Advantage coverage networks and enhanced reporting for pharmacy benefit managers.
The scam resulted in Medicare paying out more than $3 million for back and knee braces that doctors never prescribed and patients did not need, the U.S. Department of Justice said.
Cardiac surgeon compensation is up 11%, according to new survey data from MedAxiom and the American College of Cardiology. Vascular surgeons experienced an increase in pay as well, but it was much smaller.
Brett Blackman, 43, of Kansas was convicted by a jury in April of healthcare fraud, stemming from an extensive conspiracy to issue bogus prescriptions for unnecessary medical devices.
