The negotiation program was created as part of the 2022 Inflation Reduction Act, which capped years of debate over whether the federal government should be allowed to haggle directly with pharmaceutical companies over the prices of drugs in Medicare.
The U.S. Centers for Medicare and Medicaid Services alleges the Indianapolis-based health insurer has failed to properly submit required information to federal regulators since 2018.
The plan is described as a “collaborative effort” to be jointly led by the Indiana Family and Social Services Administration and the Indiana Department of Health.
The government says the lab billed Medicare for respiratory pathogen panels that were unnecessary or tied to improper referral arrangements.
At stake are billions of dollars in bonuses that the Centers for Medicare and Medicaid Services awards to insurers that achieve a certain star rating on their Medicare Advantage scores.
The Biden administration has introduced a controversial set of new regulations intended to increase staffing levels and improve patient care in nursing homes.
Rarely a day goes without President Joe Biden mentioning insulin prices. He promotes a $35 price cap for the medication for Americans on Medicare — in White House speeches, campaign stops and even at non-health care events around the country.
As he mulls a 2024 presidential bid, former Vice President Mike Pence on Tuesday called for “common sense and compassionate solutions” to reform entitlement programs and the nation’s debt burden.
A wide-ranging bill aimed at lowering health care costs for Hoosiers received mixed reviews in committee on Tuesday, from provisions penalizing hospitals for high prices to curtailing the use of non-compete agreements.
Upset with what they say is the excessive cost of health care in Indiana, House Republicans want to levy fines against hospitals that charge more than 260% of what Medicare reimburses for services.
Grassroots efforts are hopeful and continuing to pressure the Health & Hospital Corporation of Marion County to withdraw its case pending before the SCOTUS, which is feared as potentially harming the elderly, the disabled and the very young.
Although the oral arguments have passed, grassroots organizers in Indianapolis are sustaining the pressure on the Health & Hospital Corporation of Marion County to withdraw its case pending before the U.S. Supreme Court.
Indianapolis-based Elevance Health Inc. must face a federal lawsuit alleging that the company defrauded the U.S. government of millions of dollars by falsely certifying incorrect diagnosis data from doctors and other health providers.
President Joe Biden arrived at the White House promising to “build back” America, and legislation he’s signing Tuesday delivers a slimmer, though not insignificant, version of that once sweeping idea.
American Senior Communities, the largest nursing home company in Indiana, has agreed to pay nearly $5.6 million to resolve allegations that it violated federal laws by submitting false claims to the Medicare program.
The U.S. Supreme Court said Wednesday that the federal government improperly lowered drug reimbursement payments to hospitals and clinics that serve low-income communities, a reduction that cost the facilities billions of dollars.
The former owner of a northwest Indiana ambulance service has avoided prison after pleading guilty in a health care fraud case that cost the government of millions of dollars.
The federal government’s assertion that Eli Lilly and Co. violated a program to offer low-income Medicaid and Medicare patients discounted drugs was tossed by the U.S. District Court for the Southern District of Indiana in a 65-page opinion, which also hinted that Congress needs to address the problems with the 340B Drug Pricing Program.
Most Americans agree that government should help people fulfill a widely held aspiration to age in their own homes, not institutional settings, a new poll finds.
With a powerful new tool, Senate Majority Leader Chuck Schumer has fresh options for potentially advancing President Joe Biden’s infrastructure package and other priorities past Republican obstruction in the 50-50 split Senate.