UnitedHealthcare is the largest health insurance company by membership with 70 million members. 

An Indiana law going into effect Jan. 1 hopes to reduce surprise billing, WNDU reported Dec. 28.

Beverly Hills, Calif.-based Center for Advanced Facial Plastic Surgery will accept cryptocurrencies including Bitcoin starting in January, the center said Dec. 20.

Whistleblowers stand to receive a portion of the proceeds from a settlement or financial recovery, which can be hundreds of thousands or even millions of dollars.

A federal jury on Dec. 16 found a former physician and his company guilty of a scheme to defraud private insurers and the Tricare program by submitting about $355 million in false claims.

The owner of two Montana-based vascular surgery centers agreed to pay millions to resolve allegations that he performed and billed for medically unnecessary procedures.

In November, CMS updated hospital price transparency regulation for hospitals with more than 30 beds.

A Mississippi physician and his practice have agreed to pay $375,000 to resolve allegations of improperly billing Medicare in violation of the False Claims Act, the U.S. Attorney’s Office for the Southern District of Mississippi said Dec. 13.

The owner of an Atlanta-based medical group and his practice will pay millions to resolve kickback allegations brought by a former employed physician, according to a Dec. 8 Justice Department statement.

Most physicians have difficulty estimating out-of-pocket medication expenses even when they have access to patients' drug and insurance information, according to a study published in November in JAMA Network Open.

A partially physician-owned hospital in Flower Mound, Texas, will pay millions to resolve allegations that it violated Stark Law, and the physician partner who blew the whistle will receive $3 million, according to a Dec. 2 Justice Department news release.

The American Society of Anesthesiologists condemned BlueCross BlueShield of North Carolina's alleged abuse of the No Surprises Act to coerce clinicians and practices into network agreements in a Nov. 22 statement shared with Becker's. 

Quincy (Ill.) Medical Group will pay $500,000 to settle allegations that it violated the False Claims Act, according to a Nov. 29 report by CBS and ABC affiliate KHQA.

The owner of pain management clinics, laboratories and a pharmacy in three states admitted to billing for unnecessary medical services and paying illegal kickbacks.

CMS is providing increased payments for several new products and procedures, including these four that are intended for spine surgery, cardiology, gynecology and sleep apnea.

Emad Bishai, MD, a pain management physician in The Woodlands, Texas, agreed to pay half a million dollars to resolve allegations he made false statements in a Paycheck Protection Program loan application and submitted false claims, according to the Justice Department.

One week after CMS finalized the 2022 rules and reimbursement rates, the agency has released an update raising the rate for closed-loop hypoglossal nerve stimulation, a sleep apnea procedure, by more than $7,000, according to a Nov. 10 news release on a LinkedIn post by Inspire Medical Systems.

CMS has created a new CPT code to describe the procedure associated with the EnPlace system, a minimally invasive meshless approach for pelvic floor fixation.

Here's how the three largest health insurers by revenue fared in the third quarter: 

The 2022 Hospital Outpatient Prospective Payment System and ASC Payment System finalized Nov. 2 removes 255 procedures from the ASC payable list.