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Feds join Medicare Advantage upcoding lawsuits against Kaiser Permanente

The Oakland, Calif.-based integrated health system allegedly pressured its physicians to augment medical records to boost its Medicare reimbursement. The Oakland, Calif.-based integrated health system allegedly pressured its physicians to augment medical records to boost its Medicare reimbursement.

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71% of nursing homes not assessed for quality, safety during COVID

States face a major backlog in surveying nursing homes nationwide for meeting quality and safety requirements. States face a major backlog in surveying nursing homes nationwide for meeting quality and safety requirements.

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Kaiser sues Merck over alleged ‘pay-for-delay’ deal

Kaiser alleges the lack of competition caused it to overpay by “hundreds of millions” of dollars for cholesterol medications Vytorin and Zetia. Kaiser alleges the lack of competition caused it to overpay by “hundreds of millions” of dollars for cholesterol medications Vytorin and Zetia.

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Digital health M&A has already set a record this year

The first half of 2021 saw more spending on mergers and acquisitions in the sector than during any full year over the past decade. The first half of 2021 saw more spending on mergers and acquisitions in the sector than during any full year over the past decade.

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Cerner’s Q2 revenue up 9% to $1.5B, operating earnings down 66%

Cerner is cutting costs by eliminating jobs, offices and products, executives told investors. Cerner is cutting costs by eliminating jobs, offices and products, executives told investors.

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Drug price inflation stalls as spending for certain products rises

Specialty pharmaceuticals, the rheumatoid arthritis drug Humira and antivirals used to treat COVID-19 are continuing to drive up drug spending. Specialty pharmaceuticals, the rheumatoid arthritis drug Humira and antivirals used to treat COVID-19 are continuing to drive up drug spending.

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Pfizer court fight could legalize Medicare copays and unleash ‘gold rush’ in sales

Pfizer is suing Uncle Sam to legalize essentially the same practice it was accused of three years ago — a fighting response to a federal crackdown that has resulted in a dozen drug companies being accused of similar practices. Pfizer is suing Uncle Sam to legalize essentially the same practice it was accused of three […]

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Inside Elmhurst Hospital midwives’ fight to unionize

The midwives have been fighting for more than two years to join the New York State Nurses Association. The midwives have been fighting for more than two years to join the New York State Nurses Association.

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Outsourcing management services can help rural hospitals maximize operations

Rural hospitals often turn to management services companies to ensure their health and longevity when they are in the midst of a financial turmoil. Even well-run providers benefit from outsourcing services for full management. Jim Kendrick, President and CEO of Community Hospital Corporation, explains why and how outsourcing these services can maximize hospital performance. Rural […]

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Employers wonder what federal employee vaccine mandate means for them

President Joe Biden’s requirement for federal workers to reveal their COVID-19 vaccination status is likely to force uncomfortable questions not only at government agencies but at private companies as well. President Joe Biden’s requirement for federal workers to reveal their COVID-19 vaccination status is likely to force uncomfortable questions not only at government agencies but […]

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