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State law requires DHCS, in certain situations, to place a provider under temporary payment suspension when it receives a credible allegation of fraud against a provider for which an investigation is pending under the MediCal program

Using standardized, enriched TiC data, we can move beyond hand waving about Aetnas exit and drill into its causes: For Exchange networks, Aetnas negotiated rates run materially higher than peers (on the order of ~20% averaged across states), putting it at a structural disadvantage on unit cost of medical services, especially institutional (inpatient) services

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Crafted for those who savor a deeply satisfying flavor, these cigarettes offer a rich and robust taste

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353-360 (Springer)