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DOJ secures first cybersecurity False Claims Act settlement
The U.S. Department of Justice secured its first cybersecurity-focused False Claims Act settlement on July 30, 2025 , when biotechnology company...
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AHA responds to CMS request for information on hospital price transparency
The American Hospital Association responded to a Centers for Medicare & Medicaid Services request for information on price transparency policy,...
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Humana sues CMS once more over Medicare Advantage star ratings
Days after a federal judge struck down Humana's first lawsuit challenging Medicare Advantage star ratings, the insurer filed a new complaint against...
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White House releases AI action plan
The White House released an action plan on July 23 with more than 90 policy recommendations to expand artificial intelligence use, following...
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AHA-supported bill would repeal discriminatory Medicare policy
The American Hospital Association expressed support for the Medicare Mental Health Inpatient Equity Act, which would eliminate the 190-day lifetime...
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Kansas hospital sues Blue KC over AI-driven claims denials
Advent Health Shawnee Mission Hospital filed a lawsuit against Blue Cross and Blue Shield of Kansas City, claiming the insurer used artificial...
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CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services announcedJune 27 the rollout of a 6-year technology-enabled prior authorization program pilot called the...
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CMS proposes 6.4% decrease to home health payments in 2026
The Centers for Medicare & Medicaid Services issued its calendar year 2026 proposed rule for the home health prospective payment system on June 30,...
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Supreme Court upholds ACA provision establishing Preventive Services Task Force
The Supreme Court voted 6-3 to uphold an Affordable Care Actprovision creating an independent task force that makes recommendations for preventive...
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FBI: Cybercriminals steal health data posing as fraud investigators
The Federal Bureau of Investigation has warned Americans of cybercriminals impersonating health fraud investigators to steal sensitive information...
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CMS proposes to close perceived loophole in Medicaid tax regulations
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on May 12, 2025, that would impose additional requirements on health...
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FTC settles $1.9M case against Evoke Wellness for deceptive ads
The Federal Trade Commission announced a $1.9 million settlement with Florida-based Evoke Wellness and two corporate officers on June 10, 2025,...