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Health plans and oncology practices alike are evaluating the use of specialty pharmacy as a resource for the delivery of cancer drugs. Specialty pharmacy organizations are creating large divisions to manage oncology spending and to provide not only oral drugs but injectable and infused drugs as well. Read More ›
Since 2004, under the False Claims Act, whistleblowers have fueled numerous federal investigations into fraudulent claims for reimbursement from federal programs, such as Medicare, that violated the Food, Drug, & Cosmetic (FD&C) Act. Read More ›
Beginning in 2014, state health insurance exchanges will offer consumers a more organized and competitive market for buying health insurance. Essential health benefits (EHBs) are the minimum benefits that must be covered by any insurance policy, known as a qualified health plan, offered on the state health insurance exchanges. Read More ›