Policy and Medicine Compliance Update – November 2023 Issue Features…
Welcome to the latest edition of Policy and Medicine Compliance Update. In this month's coverage, we delve into the intricate…
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2023
Cigna Settles Upcoding Allegations with DOJ for More than $172 Million
Recently, the Cigna Group agreed to pay more than $172 million to resolve allegations that it violated the False Claims Act by…
CMS Announces Changes to the ACO REACH Model
The Centers for Medicare and Medicaid Services (CMS) recently announced changes to the ACO REACH Model, in an attempt to increase…
AARP Report Highlights the Increase in Medicare Part D Drug List Price
A new report from AARP found that the 25 drugs that accounted for the highest Medicare Part D spending in 2021 more than tripled…
CMS Announces New Voluntary Model
The Centers for Medicare and Medicaid Services (CMS) recently announced a new funding opportunity for states to implement an…
ACOs Save Medicare More than $1.8 Billion in 2022
The Centers for Medicare and Medicaid Services (CMS) recently announced that the Medicare Shared Savings Program saved Medicare…
FDA Finalizes Guidance on Real World Evidence in Supporting Drug Approvals
The United States Food and Drug Administration (FDA) recently finalized guidance on real-world evidence (RWE) and real-world data…
Doctors Challenge California Implicit Bias in CME Legislation
Recently, two doctors filed a lawsuit in California, challenging the implementation of Assembly Bill 241, which requires all…
CME Coalition Submits Comments in Response to EACCME Accreditation Changes
We previously published a story about the changes coming the EACCME Accreditation Criteria and platform, including restricting…
Can Transparency in Coverage Be Improved with Help from the States?
Health Affairs recently published a report on the way state insurance departments can help with making the data from the…