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7 Jul 2023, 3:03 pm
Some of the largest health insurance companies regularly deny what are otherwise valid and covered claims: Kaiser Permanente UnitedHealthcare Aetna Anthem Humana Blue Cross Blue Shield Insurance companies also often choose to deny claims because of the cost, even when a treatment or procedure should otherwise be covered. [read post]
7 Jul 2023, 4:14 am
A pair of piercing blue eyes seemed to look straight through Sheriff Roy and Fire Chief Thomas. [read post]
3 Jul 2023, 8:12 am
As reported by thepharmaletter's "Brief," consumers and other direct purchasers, including the Blue Cross and Blue Shield Association, filed the antitrust lawsuit in 2019 in which they alleged Gilead Sciences and Teva [read post]
16 Jun 2023, 1:27 pm
Additionally, the insurance companies that provided the state with its health benefits plan — UnitedHealthcare and Anthem Blue Cross Blue Shield — allegedly warned the state that its plan’s express exclusion for gender-affirming care was discriminatory. [read post]
5 Jun 2023, 9:30 pm
Testimony was taken for the record, and witnesses were subject to cross examination. [read post]
31 May 2023, 10:38 am
Some of the country’s biggest health care insurance companies, including Blue Cross and Blue Shield, accused Walgreens of inflating their drug prices when submitting claims to the insurance companies for reimbursement. [read post]
29 May 2023, 9:05 pm
Finally, the cross-border nature of crypto makes enforcement difficult and costly. [read post]
29 May 2023, 8:48 pm
Court Denies Corporation’s Motion to Dismiss Complaint Alleging Breach of Oral Agreement for 25% Equity Stake The owners of a corporation that operates a Manhattan karaoke lounge may be singing the blues after last month’s decision by Manhattan Supreme Court Justice Arlene Bluth denying their motion to dismiss a lawsuit brought by an ousted club manager who claims he was promised a 25% equity interest in exchange for his services. [read post]
26 May 2023, 5:52 pm
According to DOJ’s press release: Vasso Godiali, a vascular surgeon from Bay City, Michigan, was sentenced on May 3 to 80 months in prison for orchestrating a multimillion-dollar scheme to defraud health care programs by submitting claims for the placement of vascular stents and for thrombectomies that he did not perform and was ordered to pay $19.5 million in restitution collectively to Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan (BCBSM). [read post]
26 May 2023, 12:08 pm
., Inc.15‐0432‐EXM In Re: Market Conduct Examination of Health Care Service Corporation, A Mutual Legal Reserve Co.16‐0268‐EXM In Re: Market Conduct Examination of UnitedHealthcare Insurance Co.16‐0372‐EXM In Re: Market Conduct Examination of American Fidelity Assurance Co.16‐0651‐EXM In Re: Target Market Conduct Examination of Blue Cross Blue Shield of Oklahoma, a division of Health Care Service… [read post]
26 May 2023, 11:54 am
Godiali also has to pay $19.5 million in restitution to Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan. [read post]
26 May 2023, 6:48 am
.) -- ruling that the Office of Inspector General properly refused to search for “all reports from Blue Cross Blue Shield corporation to OIG concerning improper prescribing of opiates by specific physicians,” because the search would take the entire FOIA staff more than 9 years to complete (or one full-time employee 28 years at a cost of at least $3.5 million), which was deemed unduly burdensome.Summaries of all published opinions issued since April 2015 are… [read post]
25 May 2023, 11:33 am
Vasso Godiali, a vascular surgeon from Bay City, Michigan, was sentenced to 80 months in prison for orchestrating a multimillion-dollar scheme to defraud health care programs by submitting claims for the placement of vascular stents and for thrombectomies that he did not perform and was ordered to pay $19.5 million in restitution collectively to Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan (BCBSM). [read post]
23 May 2023, 11:45 am
The oracle decides to figure out a competitive price that will clear the market, so he draws out the supply curve (in orange), and the demand curve (in blue) and picks an equilibrium point where they cross (in red). [read post]
20 May 2023, 2:06 pm
Xi offered an eight part framework for operaitonalization: (1) strengthening institutional building (2) expand economic and trade ties; (3) deepen connectivity through infrastructure; (4) expand energy cooperation; (5) promoting green innovation; (6) enhance development capacity and capabilities; (7) strengthen cross civilizational dialogue especially through education and tourism projects; and (8) safeguard peace in the region through police and security related programs. [read post]
19 May 2023, 2:19 pm
The panelists also indicated that FINRA is using CAT data to surveil cross-market and cross-product (i.e., options impacted by swap trading), fractional share order marking (i.e., held v. not held), and firms’ pricing of fractional share fills based on a review of representative orders. [read post]
19 May 2023, 12:37 pm
“The Blue Hills is another great place to go. [read post]
17 May 2023, 10:48 am
During the COVID pandemic, OCR imposed a $6.85 million HIPAA penalty on Premera Blue Cross to resolve HIPAA violations discovered during the investigation of a data breach involving the electronic protected health information of 10.4 million individuals as well as a $5.1 million dollar penalty on Excellus Health Plan to settle a HIPAA violation case stemming from a data breach that affected 9.3 million individuals. [read post]
10 May 2023, 2:35 pm
The incident was captured on surveillance video, which showed a blue Honda Accord speeding towards the victim as he crossed the intersection. [read post]
10 May 2023, 2:02 am
Joe Collura is VP Solution Engineer of the Americas, SS&C Blue Prism. [read post]
