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Medicare Advantage and Consolidation’s New Frontier — The Danger of UnitedHealthcare for All
The New England Journal of Medicine To download a PDF of this article, click here UnitedHealth Group has recently come under fire. In...

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6 min read


Health-Care Collusion Task Force Sets Stage for DOJ Enforcement
Justice Department poised to bring civil, criminal cases Enforcers expected to focus on data-sharing, use of AI Bloomberg Law The Justice...

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4 min read


Lawmakers slam UnitedHealth chief over Change Healthcare attack
Modern Healthcare UnitedHealth Group CEO Andrew Witty endured withering criticism from lawmakers Wednesday as Congress held a pair of...

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5 min read


Congress Has A Big Chance To Investigate A Financial Threat To Patients
Forbes Following an enormous cyberattack on a subsidiary of UnitedHealth Group, the Senate Finance Committee has called the company's...

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2 min read


Cyberattack Paralyzes the Largest U.S. Health Care Payment System
The hacking shut down the nation’s biggest health care payment system, causing financial chaos that affected a broad spectrum ranging...

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6 min read


3-Part Investigative Series on PBMs & Copay Accumulators
ABC 6 On Your Side, Columbus, Ohio Investigative Reporter: Darrel Rowland To view graphics and data for this investigative series, go to...

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22 min read


Cigna lawsuit over algorithm allegations could be first of many
Modern Healthcare Reporter: NONA TEPPER Two Cigna members filed a lawsuit seeking class-action status in a California federal court on...

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3 min read


How UHC’s acquisition of a popular Medicare Adv. algorithm sparked internal dissent over denied care
STAT News Reporters: Casey Ross and Bob Herman Frustration was boiling into open conflict within NaviHealth, a company that uses computer...

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12 min read


Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
STAT+ News An algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered...

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8 min read


FTC’s Enforcement Action Against GoodRx Breathes New Life into Decade Old Regulation
Lexology The Federal Trade Commission (FTC) didn’t mince words. On September 2021, it called out the health app industry for failing to...

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6 min read


Suit Against Anthem Exposes Conflict Over Health Claims Data
Employers could save money with data, consultant says Insurers contend health claims data is proprietary Bloomberg Law A lawsuit filed by...

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4 min read


How the FTC's crackdown on GoodRx could impact digital health
Axios Wednesday's crackdown by federal regulators on GoodRx highlights increasing efforts by the FTC under activist chair Lina Khan to...

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2 min read


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 2)
This two-part article was researched and written in partnership with Cathy DuRei, President of Rumbly Health. Part 1 delved into what a...

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8 min read


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 1)
Forbes If, as Mitt Romney said, a corporation is a person, then is it akin to murder if an idea takes down a company? What about if it...

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7 min read


Judge approves Blue Cross Blue Shield $2.67B antitrust settlement
Modern Healthcare A federal judge approved Blue Cross and Blue Shield companies’ $2.67 billion antitrust settlement on Tuesday. Barring...

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2 min read


UnitedHealth and DOJ trial begins: handling sensitive data
UnitedHealth Group Inc. will gain access to “vast amounts of data” on how rival insurers do business if its proposed acquisition of...

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2 min read


Beat cancer? Your Medicare Advantage plan might still be billing for it
Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...

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11 min read
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