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Officials remove special rules for gene therapy experiments

A special National Institutes of Health oversight panel will no longer review all gene therapy applications and will instead take on a broader advisory role, as the treatment quickly becomes an established form of medical care with no extraordinary......

Rebates don't correlate to drug price spikes, AHIP study says

As scrutiny tightens on drug middlemen and the significance of their role in spiking drug costs within Medicare Part D, health insurers are hitting back with data that shows the most expensive drugs offer the lowest rebates....

Providence Health sued over alleged $188 million Medicare upcoding scheme

Providence Health and Services has been sued by a data analysis firm that claimed the 50-hospital system pushed its doctors to add complications or comorbidities to treatment documents so they could get higher Medicare reimbursement....

VA accused of failing to pay bills for healthcare company

The owners of a New Hampshire provider stopped caring for 16 veterans as of Friday because they were unable to get about $60,000 in bills paid by the Veterans Affairs Department....

Harvard Pilgrim reports strong Q2, despite CEO's departure

Harvard Pilgrim Health Care saw a big jump in net income during the second quarter of 2018, which wrapped up weeks after the health plans CEO abruptly resigned over unspecified behavior....

Ohio Medicaid to try out transparent PBM pricing model

Ohios Medicaid department is directing its managed-care organizations to quit their contracts with pharmacy benefit managers because of opaque pricing practices and strike up new arrangements with transparent vendors....