All Healthcare articles – Page 16
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How Highmark Health uses AI to root out fraud, waste, and abuse
Highmark Health’s chief compliance officer shares how the organization has realized hundreds of millions of dollars in savings through its use of artificial intelligence in rooting out fraud, waste, and abuse.
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Saber Healthcare Group to pay $10M in False Claims Act case
The Department of Justice fined Saber Healthcare Group and its related entities $10 million for violations of the False Claims Act, alleging the company knowingly increased Medicare billings.
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Beacon Healthcare Systems tabs chief compliance officer
Beacon Healthcare Systems announced the appointment of John Tanner as its chief compliance officer.
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GoodRx’s mea culpa: Lessons for internet companies handling personal health data
Telemedicine platform GoodRx has committed to enhancements of its consumer data protection after Consumer Reports called out its sharing practices regarding personal health information.
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Compliance lessons from Cardinal Health’s FCPA settlement
Cardinal Health reached an $8.8 million settlement with the SEC for violations of the FCPA concerning the operations of its former Chinese subsidiary. For prudent compliance officers, it’s a tale of how not to do business in China.
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Krystal Biotech adds accounting chief; CFO resigns
Gene therapy company Krystal Biotech announced the appointment of Kathryn Romano as chief accounting officer.
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Versant Health appoints chief compliance officer
Versant Health, a national managed eye health and vision plan company, has appointed Lula Richards as its new chief compliance officer.
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Coronavirus impact: How tech, medical, retail industries are responding
Surrounded by uncertainty, the coronavirus outbreak has quickly catapulted high on the list of hot risk topics for business leaders everywhere.
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Centene tabs general counsel
Centene Corp., a managed care solutions provider, announced the appointment of Chris Koster to senior vice president, secretary and general counsel.
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Practice Fusion to overhaul compliance after $145M kickback resolution
Practice Fusion will pay a total of $145 million to resolve criminal and civil investigations for its leading role in an opioid kickback scheme. Particularly notable are the new compliance obligations imposed upon it, which are as weighty and significant as the fine itself.
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Mirati Therapeutics names accounting chief amid shakeup
Mirati Therapeutics, a clinical stage targeted oncology company, announced changes to its executive management team, including the promotion of Vickie Reed to senior vice president, finance and chief accounting officer.
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Sutter agrees to pay $575M, gets compliance monitor in antitrust settlement
California announced a settlement with Sutter Health for $575 million to settle claims of anti-competitive behavior brought by the state attorney general as well as a class-action group that included employers and unions.
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Alleged compliance failures at Omnicare lead to healthcare fraud lawsuit
A series of alleged compliance failures at pharmaceutical services provider Omnicare has resulted in the Department of Justice intervening in yet another civil healthcare fraud lawsuit against the company.
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HAP tabs chief compliance officer
Health Alliance Plan, a Michigan-based nonprofit health plan, named Pamela Cleveland chief compliance officer.
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Penumbra names new accounting chief
Healthcare firm Penumbra announced the promotion of Lambert Shiu to chief accounting officer among several leadership changes.
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‘Femtech’ wanders into uncharted regulatory territory
Applications that serve women’s health needs could soon be held to a higher standard of accountability for protecting users’ data if they become classified as “covered entities” under HIPAA.
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Sutter Health pays $30M in lawsuit
Healthcare services provider Sutter Health will pay $30.5 million in a lawsuit filed by a former compliance officer alleging fraud and kickbacks, though Sutter did not admit laibility and points out there was no finding that Sutter violated anti-kickback laws.
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Google, Ascension defend partnership amid federal inquiry
Criticism from lawmakers in addition to a federal inquiry regarding Google’s controversial partnership with Ascension has both the tech giant and the non-profit healthcare provider firing back.
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DaVita names chief accounting officer
Healthcare provider DaVita has named John Winstel as chief accounting officer. He will succeed Jim Hilger in this role, who will be stepping down early next year, no later than March 3, 2020.
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Tripwire, HITRUST partner on compliance standards
Tripwire has partnered with HITRUST to help healthcare organizations achieve compliance with the HITRUST Common Security Framework and maintain a robust cyber-security posture.