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insider trading scandal and regulatory scrutiny shake healthcare industry in november

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.

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