Enforcement of Health Care Antitrust Laws to Continue in 2023: Review of Challenges to Provider and Payer Mergers

WASHINGTON, D.C. – As 2023 drew to a close, antitrust enforcement in the health care industry remained a top priority for U.S. regulatory agencies. From providers to patients, and payers to pharmaceutical and device manufacturers, all sectors of the health care industry should anticipate robust antitrust enforcement from the Biden Administration in the upcoming election year. This comes as the administration continues to address concerns raised in President Biden’s July 2021 Executive Order, which highlighted …

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Pension Provider Returns $8 Million in Excess Funds: DOJ Announcement

WASHINGTON, D.C. – The U.S. Department of Justice revealed a significant development on Monday regarding a pension provider associated with workers in graphic communications. The provider has recently returned over $8 million in excess funds it had received through a financial mechanism. This revelation underscores the efforts of the Department of Justice in ensuring the proper handling of financial resources within specific industries, highlighting the significance of transparency and accountability in financial transactions. The decision …

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Healthcare Costs Plummet in New Jersey: Provider Dispute Risks Patient Access

Mount Laurel, New Jersey – A recent op-ed published on app.com discusses the impact of Horizon Blue Cross Blue Shield cutting ties with healthcare practices like South Jersey Radiology Associates and Larchmont Medical Imaging. The authors of the op-ed, Dr. Kevin Barry and Dr. Greg Goodworth, express concerns about the implications of this decision for patients and the healthcare industry in New Jersey. According to the op-ed, the practices have been providing radiology services in …

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Private-Equity Owned Home Care Provider Abruptly Leaves 1,100 Clients Without Services

HUNTSVILLE, Ala. – When Help at Home abruptly left Alabama last fall, nearly 800 caregivers were gone, leaving 1,100 older and disabled clients in need of replacement of services. The company cited the challenging “reimbursement and regulatory environment” in the state as the reason for its departure. According to Kristen Trenaman, the company’s vice president of public relations, the issue was in recruiting and retaining enough workers. Debra Davis, deputy commissioner for the Alabama Department …

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