| Today's News and Trends | The company does not admit to wrongdoing, but was accused by the U.S. Department of Justice in 2024 of unlawful prescriptions for controlled substances, going on to bill Medicare and other government health programs. The company does not admit to wrongdoing, but was accused by the U.S. Department of Justice in 2024 of unlawful prescriptions for controlled substances, going on to bill Medicare and other government health programs. | | |
| Humana, the parent company of CenterWell, revealed the deal on Tuesday. Per the terms, BlackRock will take over the majority ownership of 150 clinics, with promises to make new investments aimed at promoting growth. Humana, the parent company of CenterWell, revealed the deal on Tuesday. Per the terms, BlackRock will take over the majority ownership of 150 clinics, with promises to make new investments aimed at promoting growth. | | |
| | Despite six of its seven contracts earning over 4 stars, Alignment Health is challenging the Centers for Medicare & Medicaid Services’ methodology. Despite six of its seven contracts earning over 4 stars, Alignment Health is challenging the Centers for Medicare & Medicaid Services’ methodology. | | |
| The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises Act lacks teeth. The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises Act lacks teeth. | | |
| It’s unclear if the man taken into custody, Edward Dubrovsky, 54, is being formally accused of being linked to the infamous cybercrime cell. Dubrovsky works with ransomware victims, helping them to pay off criminals to regain access to their data. It’s unclear if the man taken into custody, Edward Dubrovsky, 54, is being formally accused of being linked to the infamous cybercrime cell. Dubrovsky works with ransomware victims, helping them to pay off criminals to regain access to their data. | | |
| | The Centers for Medicare & Medicaid Services said agents and brokers, acting on behalf of enrollees, were failing to submit necessary documentation on applications, such as Social Security numbers and immigration details. The Centers for Medicare & Medicaid Services said agents and brokers, acting on behalf of enrollees, were failing to submit necessary documentation on applications, such as Social Security numbers and immigration details. | | |
| In a complaint, a California doctor accused his former employer and colleagues of making false statements to damage his reputation. The hospital argued, successfully, that the internist failed to exhaust internal dispute resolution procedures that could have stopped him from losing income. In a complaint, a California doctor accused his former employer and colleagues of making false statements to damage his reputation. The hospital argued, successfully, that the internist failed to exhaust internal dispute resolution procedures that could have stopped him from losing income. | | |
| | Currently, only about 17% of U.S. Food and Drug Administration-authorized AI medical devices are labeled for use with children. Currently, only about 17% of U.S. Food and Drug Administration-authorized AI medical devices are labeled for use with children. | | |
| The ACC, SCAI and STS have shared early support for expanding Medicare coverage to include TAVR in patients with native AR. The groups emphasized that CED requirements and multidisciplinary heart team meetings are necessary to ensure patients receive the best possible care going forward. The ACC, SCAI and STS have shared early support for expanding Medicare coverage to include TAVR in patients with native AR. The groups emphasized that CED requirements and multidisciplinary heart team meetings are necessary to ensure patients receive the best possible care going forward. | | |
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