BCBS of MA announces today, they will no longer cover GLP1″s for weight loss beginning on plan anniversary dates in 2026.
Continue reading Blue Cross Blue Shield Dice “NO MAS!”Day: April 20, 2025
Financial Impact of Qzempic & Wegovy
GLP-1 medications pose such a great financial burden to employers that they may agree to a single-payer healthcare system run by the Government as a way of addressing the problem.
Continue reading Financial Impact of Qzempic & WegovyExecutive Vice President of Insurance Brokerage Pleads Guilty in $133M Affordable Care Act Fraud Scheme
Friday, April 18, 2025 – SOURCE: www.justice.gov
For Immediate Release
Office of Public Affairs
A Florida executive pleaded guilty today for his role in a scheme to submit fraudulent applications to enroll consumers in Affordable Care Act insurance plans (ACA plans) that were fully subsidized by the government. The purpose of the scheme was to obtain millions of dollars in commission payments from the insurance company that operated the ACA plans. The federal government paid at least $133,900,000 in subsidies for fraudulently enrolled individuals.
Continue reading Executive Vice President of Insurance Brokerage Pleads Guilty in $133M Affordable Care Act Fraud SchemeThe Largest Health Care Fraud Forfeiture In DOJ History
“David” Nourian was sentenced to 17½ years in federal prison—and ordered to forfeit $405 million. His crime? Running a kickback-fueled scheme that paid doctors millions to prescribe $15 compound creams billed at up to $16,000 per tube, mixed in the backroom by teenagers.
Continue reading The Largest Health Care Fraud Forfeiture In DOJ HistoryOhio Medicaid Got Rid Of Big Middlemen, Paid Pharmacies More And Saved $140 Million, Report Says
By: Marty Schladen – April 17, 2025
Pharmacy middlemen working in Ohio on behalf of huge health conglomerates have long claimed they keep down drug costs. But a report released last week calls that into question.
Continue reading Ohio Medicaid Got Rid Of Big Middlemen, Paid Pharmacies More And Saved $140 Million, Report SaysPrescription Drug For Incurable Disease Lasting A Lifetime Costs $47,125 Per Year
You never know what a new hire will end up costing. Take the case of a new hire who started work June 1 of last year. She was on a $500,000 a year drug but the employer didn’t know it.
Continue reading Prescription Drug For Incurable Disease Lasting A Lifetime Costs $47,125 Per Year