CVS contends the reviews are a regular part of doing business in federal programs, and it "expects CMS and the OIG to continue these types of audits."| Healthcare Dive
The judge’s ruling follows a trial in which the DOJ argued that UnitedHealth’s bid for Change would disadvantage rivals and result in higher costs, lower quality and less innovative commercial health insurance.| Healthcare Dive
Attempts to "defraud the program cannot continue and will be pursued," DOJ officials said in statement announcing the action against the California-based system.| Healthcare Dive
The agreement settles a whistleblower lawsuit against Cigna that the Department of Justice joined last year, and requires the payer to undergo annual auditing from an independent entity.| Healthcare Dive
Regulators have historically struggled to make a case against complex and non-traditional tie-ups. That could change with the new guidelines.| Healthcare Dive
To alleviate other antitrust concerns, UnitedHealth agreed to divest ClaimsXten to private equity group TPG Capital.| Healthcare Dive
While the insurer continues to be rocked by more seniors seeking outpatient care, the fourth quarter also saw high levels of vaccinations and COVID-19 admissions that accelerated spending.| Healthcare Dive
