DOJ recovered $2.5 billion in 2018 healthcare false claim cases
According to the DOJ, this is the ninth consecutive year that the organizations' civil healthcare fraud settlements and judgments have exceeded $2 billion.
DOJ joins suit against Sutter Health for Medicare Advantage overcharging
A whistleblower report alleged Sutter Health submitted unsupported diagnosis codes to inflate the risk scores of its Medicare Advantage beneficiaries.
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A Personalized Approach to Medication Nonadherence
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.