One of the largest nonprofit health systems in the country is set to buy Williamson Health, a Tennessee-based regional hospital and provider network. If approved by regulators, the transaction could be finalized sometime next year. 

"Data should simply be a measure of a broader organizational objective," one expert explained. "When the data becomes the goal, that's where organizations can get into trouble."

The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating. 

A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits. 

State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 

Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.

Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information. 

The U.S. Department of Justice said the settlement will save citizens of the state money and open up the market to competition.