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Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

by Advize Admin | Sep 23, 2022 | FWA, Healthcare

Health insurance giant Centene Corp. has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. It’s the biggest known payout by the nation’s largest Medicaid insurer over its drug pricing...
FTC Official: Antitrust Push in Health Care Must Focus on a Merger’s ‘Human Impact’

FTC Official: Antitrust Push in Health Care Must Focus on a Merger’s ‘Human Impact’

by Advize Admin | Jul 22, 2022 | Business

President Joe Biden has ordered the Federal Trade Commission to combat consolidation in the health care industry, saying that it is driving up prices for consumers and limiting their access to care. The new Democratic majority on the FTC has signaled that it not only...
No Prison Time for Tennessee Nurse Convicted of Fatal Drug Error

No Prison Time for Tennessee Nurse Convicted of Fatal Drug Error

by Advize Admin | May 20, 2022 | FWA, Healthcare

RaDonda Vaught, a former Tennessee nurse convicted of two felonies for a fatal drug error, whose trial became a rallying cry for nurses fearful of the criminalization of medical mistakes, will not be required to spend any time in prison. Davidson County...
What’s Next if ‘Roe v. Wade’ Falls? More Than Half of States Expected to Ban or Restrict Abortion

What’s Next if ‘Roe v. Wade’ Falls? More Than Half of States Expected to Ban or Restrict Abortion

by Advize Admin | May 6, 2022 | Healthcare

If the Supreme Court’s conservative majority affirms the leaked decision overturning abortion rights in the U.S., the effects would be sweeping for 40 million women in more than two dozen states where Republican-led legislatures have been eagerly awaiting the...

Why Nurses Are Raging and Quitting After the RaDonda Vaught Verdict

by Advize Admin | Apr 8, 2022 | FWA, Healthcare

Emma Moore felt cornered. At a community health clinic in Portland, Oregon, the 29-year-old nurse practitioner said she felt overwhelmed and undertrained. Coronavirus patients flooded the clinic for two years, and Moore struggled to keep up. Then the stakes became...
In Nurse’s Trial, Investigator Says Hospital Bears ‘Heavy’ Responsibility for Patient Death

In Nurse’s Trial, Investigator Says Hospital Bears ‘Heavy’ Responsibility for Patient Death

by Advize Admin | Mar 25, 2022 | Healthcare

A lead investigator in the criminal case against former Tennessee nurse RaDonda Vaught testified Wednesday that state investigators found Vanderbilt University Medical Center had a “heavy burden of responsibility” for a grievous drug error that killed a patient in...
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud

Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud

by Advize Admin | Feb 11, 2022 | FWA

A Texas consulting company that arranges spine surgery and other medical care for people injured in car crashes has come under scrutiny in a widening federal bribery investigation. Meg Health Care, run by Dallas personal injury attorney Manuel Green and his wife,...
Independent Review Organizations (IRO): A Necessary Evil

Independent Review Organizations (IRO): A Necessary Evil

by Advize Admin | Feb 4, 2022 | Compliance

Providers who are lucky enough to have their fraud, waste, and abuse matters resolved through a civil settlement (either via the US Attorney’s Office or the Office of Counsel to the Inspector General-a CMPL action), can sometimes have a clause in the settlement that...

HHS Proposal for Marketplace Plans Carries Hefty Dose of Consumer Caution

by Advize Admin | Jan 21, 2022 | Healthcare

Some health insurance brokers in the market are enrolling people into ACA (Affordable Care Act) health care plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The...

Justices Block Broad Worker Vaccine Requirement, Allow Health Worker Mandate to Proceed

by Advize Admin | Jan 14, 2022 | Healthcare

The Supreme Court on Thursday blocked a key Biden administration covid-19 initiative — putting a stop, for now, to a rule requiring businesses with more than 100 workers to either mandate that employees be vaccinated against covid or wear masks and undergo weekly...
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