Tag:
Department of Justice (DOJ)
Latest Headlines
Latest Headlines
Feds investigate Dallas hospital, docs for fraud
Parkland Memorial Hospital in Dallas seemed to be heading on the right track after reaching an agreement with the Centers for Medicare & Medicaid Services for corrective actions to stay open
Highmark-West Penn merger won't limit competition
Highmark can move forward with its $475 million acquisition of West Penn Allegheny Health System (WPAHS) now that a Department of Justice (DOJ) investigation has concluded that the affiliation won't
WellCare to pay $138M in Medicare fraud settlement
WellCare's settlement with the Department of Justice over allegations that the Tampa-based insurer overcharged Medicare by about $46 million finally has gone into effect, reported the Tampa Bay
DOJ: Humana must divest assets to buy Arcadian
Humana can move forward with its plans to buy Arcadian Management Services if it divests certain part of Arcadian's Medicare Advantage business in five states, the Department of Justice (DOJ) said
$1.5M insurer deal to transfer members approved
A $1.5 million deal between Oregon insurer PacificSource and Montana insurer New West Health Services is moving forward after a key Montana official offered preliminary approval. Under the proposed
No mandatory antitrust review for ACOs
To the relief of interested parties, certain accountable care organizations (ACO) will not be subject to mandatory antitrust review as a condition to participate. Along with yesterday's release of
DoJ drops probe into Highmark's anti-competitive actions
The Department of Justice (DoJ) has ended an investigation into whether Highmark and the University of Pittsburgh Medical Center (UPMC) were engaging in anti-competitive practices in the Pittsburgh
Legal hurdles in ACO process to dissuade participants
The legal challenges associated with accountable care organizations (ACOs) might dissuade healthcare institutions, providers, and payers from hopping on the bandwagon, according to an article in The
ACO fears will be addressed, maybe alleviated
With the recent publication of the proposed rules regarding accountable care organizations (ACO), the topic has hit a fever-pitch level throughout the healthcare industry. Payers are particularly
Highmark used anti-competitive actions in 'precedential' case
Highmark illegally conspired to reduce competition, raise prices and gain a monopoly on the Pittsburgh region's healthcare industry, according to a newly reinstated antitrust lawsuit against the
