The policy entitles employers with at least 100 workers to details about drugmaker rebates and other information. PBMs face penalties for incomplete disclosure.

Hospital units dedicated to treating the nation’s sickest kids are disappearing nationwide. In the past year alone, hospitals have closed pediatric intensive care units for critically ill kids in Montana, Oregon, and Missouri. Overnight hospital wings for kids have also shuttered in Illinois and California. Depending on the hospital, pediatric units — which are separate ...

An attacker used a “phishing” strategy to get unauthorized access to Covered California agent information spreadsheets May 13, according to a sample breach notice letter posted on the California attorney general’s website Oct. 16. “As a result of this incident, your information, along with information relating to other agents, was disclosed,” Covered California officials warn ...

A federal judge decided Wednesday to put off making a decision about whether to require HealthCare.gov managers to resume registering new agents and brokers for the open enrollment period for 2027 coverage. U.S. District Judge Stephanie Gallagher issued an order giving U.S. Health and Human Services Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, ...

The U.S. Department of Justice (DOJ) charged 15 individuals, including six medical professionals, tied to healthcare fraud schemes that allegedly generated roughly $2 billion in fraudulent claims to government and private insurers. Prosecutors allege four defendants operated a $1.6 billion abuse treatment scheme in California, which the DOJ calls the largest sober-home/substance abuse treatment fraud ...

The elaborate scams include video calls with a police officer impersonator demanding personal information