HHS' Office for Civil Rights is investigating Banner Health following a 2016 cyberattack that may have affected 3.7 million patients. The Phoenix-based not-for-profit system anticipates that it may receive negative findings and be fined.
The CMS may revoke Wake Forest Baptist Health's ability to bill Medicare after several patients received erroneous cancer diagnoses due to poor lab oversight.
Prosecutors say a 43-year-old New Jersey man and others used The Good Samaritans of America and offers of free ice cream to gain access to low-income senior housing complexes and convince them to submit to unnecessary genetic testing.
Elizabeth Holmes, a Stanford University dropout once billed as the "next Steve Jobs," has forfeited control of Theranos, the blood testing startup she founded, and will pay $500,000 to settle charges that she oversaw a "massive fraud."
Republican members of the House Energy and Commerce Committee have launched an investigation into the hospital accreditation process, following a report last year that found the Joint Commission accredited hospitals with major safety issues.
Martin Shkreli, the smirking "Pharma Bro" vilified for jacking up the price of a lifesaving drug, was sentenced Friday to seven years in prison for defrauding investors in two failed hedge funds.
HHS Secretary Alex Azar hinted to insurers that he would loosen regulations to let them offer plans that don't follow current ACA rules. He also urged insurers to do their part in the price-transparency fight.
Health insurance groups were guardedly relieved by the CMS' decision to block Idaho's move to allow noncompliant plans, as they feared other GOP-led states similarly would seek to unravel the Affordable Care Act's consumer protections.
Erie, Pa.-based UPMC Hamot and Medicor Associates agreed to pay the government $20.75 million to settle claims that they formed a kickback scheme that delivered unnecessary care.
The CMS will overhaul its meaningful-use initiative that compelled providers to adopt electronic health records. Medical stakeholders have been complaining for years that the program is burdensome and hard to implement by CMS deadlines.
The Justice Department, which is investigating the medical upcoding practices of several large health insurers, will have to find another way to claw back the potentially billions in allegedly fraudulent payments from Medicare Advantage insurers.
Two leading Senate Democrats have asked Aetna to hand over information about its prior-authorization process, citing concerns that their practices may have violated federal law.