California Telehealth Execs Charged In ADHD Prescription Scheme Amid Nationwide Med Shortage

As many as 50,000 U.S. patients’ access to treatment for attention deficit hyperactivity disorder could be disrupted after two executives at Done, a California-based telehealth company, were indicted Thursday on healthcare fraud charges, federal officials said. The Justice Department alleges that Chief Executive Ruthia He and company clinical President David Brody schemed to provide easy ...

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Heat Waves Are Extra Dangerous If You’re Taking These Medications

The heat is on. With temperatures expected to soar above the 90s across much of the eastern US this week, millions are preparing to beat the heat. Experts are urging those who take certain medications — including those used to treat high blood pressure, allergies and mental health conditions — to take extra precautions. Temps will begin ...

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Top Newsom Adviser Steps Away From Health Care Initiative Amid Standoff With Allies

California Gov. Gavin Newsom’s growing discomfort with a proposed ballot initiative sponsored by leading health care groups is spilling out into the public amid tense discussions over the November ballot and state budget. Jim DeBoo, a top consultant in Sacramento and a former chief of staff to Newsom, confirmed to POLITICO on Thursday that he’s ...

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Insurance Firms Reach Settlement With U.S. Department Of Labor

The US Department of Labor has announced separate settlements with Unum Life Insurance Co. of America and the Lincoln National Life Insurance Co. that relate to their practices on evidence of insurability.

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California Could Curb Private Equity Health Deals

Lawmakers in California are hoping that keeping private firms out of their health care market will help down the cost of health care there and maintain the quality.

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With Deadline Nearing, Newsom And Lawmakers Disagree Over Solutions To California Budget Crisis

With a deadline looming, Gov. Gavin Newsom and Democrats in the state Legislature are working to settle their differences over access to public healthcare services, delaying minimum wage increases for workers and pausing tax credits for businesses.

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California Will Refund More Than $52 Million To Federal Government For Immigrant Care

California needs to repay more than $52 million to the federal government after improperly claiming reimbursement from the Medicaid program for some immigrant patients, according to a recently released report from federal inspectors.

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Insurers Likely To Pay Out $1.1B In Premium Rebates This Year

Insurers are likely to pay $1.1 billion in Affordable Care Act (ACA) medical loss ratio rebates in 2024, according to a new analysis. Payers have made a total of $11.8 billion in rebates since 2012, when they became required under the ACA, according to a report from KFF and data compiled by Mark Farrah Associates. Health plans ...

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Have You Noticed New Drug Ads? FDA Issues New ‘Transparency’ Rules For TV, Radio

Prescription drug ads will soon look different as new federal transparency rules take effect, requiring commercials to clearly spell out potential side effects, essentially ending those rapid-fire disclaimers at the end of many commercials.

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Medicare Advantage Plan Sellers Fight CMS Agent Pay Cap In Court

Medicare Advantage plan brokers and distributors are asking the federal courts to give them immediate protection against new Centers for Medicare and Medicaid Services agent compensation rules. The plaintiffs predict in three separate suits that plan distribution channels will break down if the courts fail to block the agent comp rules for the 2025 coverage ...

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