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Dr. Mehmet Oz, nominated by President Trump to lead the Centers for Medicare & Medicaid Services, faces potential conflicts of interest due to his substantial investments in health care, tech, and food companies, including UnitedHealth Group and Amazon. His financial ties raise questions about his ability to act in the public's interest, especially as he advocates for Medicare Advantage, a program that could significantly impact his wealth. Critics highlight the challenges of managing these conflicts, noting that past nominees have divested similar holdings to avoid ethical dilemmas.
In November 2024, a Pennsylvania man was arrested for insider trading related to CVS's acquisition of Oak Street Health, potentially facing 25 years in prison. The DOJ is investigating pharmacy benefit managers (PBMs) for anti-competitive practices, while Medicare improperly paid $190 million to acute-care hospitals over five years. Additionally, Aetna and OptumHealth settled a class action lawsuit for hiding administrative fees, and small pharmacies are suing PBMs for price-fixing.
Orthopedic providers have filed a federal lawsuit against Elevance, UnitedHealthcare, and other insurers, alleging a multibillion-dollar price-fixing scheme with MultiPlan to suppress out-of-network payment rates to doctors. The complaint claims that insurers collectively outsource rate-setting to MultiPlan, violating antitrust laws, while MultiPlan"s algorithmic compensation determination is described as a facade for traditional price-fixing. The lawsuit seeks class action status, a jury trial, and a judgment declaring the conduct unlawful.
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dr oz's potential conflicts of interest as cms administrator nominee
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18:01 19.11.2024
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