The Department of Justice announced that the pharmaceutical manufacturer Celgene has agreed to pay $280 million to settle allegations that the company fraudulently promoted two cancer treatment drugs for uses not approved by the FDA.
Anthem, the largest private insurance company in the United States, has agreed to pay $115 million to settle a class action lawsuit, the consolidation of more than 100 lawsuits filed against it, believed to be the largest settlement ever for a data breach case of this type.
The Centers for Medicare & Medicaid Services (CMS) paid an estimated $729 million in erroneous incentive payments to providers for meeting electronic health record (EHR) meaningful use attestations, according to a new report from the Department of Health and Human Services Office of Inspector General (OIG).
The Federal Trade Commission (FTC) and the North Dakota Office of the Attorney General have jointly filed suit in federal district court to block the acquisition of Mid Dakota Clinic by Sanford Health. The two groups are competitors in greater Bismarck, an area with a population of 125,000.
The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) estimates that investigative recoveries would be more than $2 billion for the first half of fiscal year (FY) 2017, according to the agency’s Semiannual Report to Congress.
EClinicalWorks (ECW), one of the nation’s largest vendors of electronic health records (EHRs), has agreed to pay $155 million dollars to settle False Claims Act (FCA) allegations. The Department of Justice (DOJ) alleged that ECW misrepresented the capabilities of its software, and paid kickbacks to certain customers in exchange for promoting its product.
The United States Supreme Court has ruled 8-0 that church-affiliated hospitals are exempt from the requirements of the Employee Retirement Income Security Act (ERISA). ERISA is a 1974 law that protects employees who participate in pension plans.
The Centers for Medicare & Medicaid Services recently issued new proposed rules regarding payment and policy for skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and Hospice providers.