Are you gagging?

In 2020, Congress adopted a ban on insurer and group health plan contracts containing “gag clauses” on health care price and quality information. The ban was included in the Consolidated Appropriations Act, 2021 (CAA 2021) and took effect on December 27, 2020. Group health plans and insurers must annually attest to compliance with the gag…

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Overcharging is not Identity Theft

The United States criminal code contains a wide range of punishable offenses for taking money that does not belong to you. For those engaged in activities relating to the delivery and payment for health care services, health care fraud stands out. Health care practitioners commit fraud by misstating the actual amount for service, up-coding by…

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