Legal & Regulatory Issues

Some states have employed various strategies to shield health insurance consumers from the effects of "rate shock" and adverse selection.

Because plans offered on the new health insurance exchanges are not federal healthcare programs, the Anti-Kickback Statute and other federal enforcement statutes do not apply, according to a legal advisory issued by the American Hospital Association.

San Antonio-based Baptist Health Systems has paid a settlement of $3.7 million to resolve allegations it violated the False Claims Act.

The White House is working to allow health insurers to bypass the glitch-ridden federal exchange site, HealthCare.gov, according to a report from The Hill.

Physician leaders at the American Medical Association's interim meeting of its House of Delegates have called for Congress to repeal Medicare's physician payment formula, the sustainable growth rate, by the year's end.

Gov. Sean Parnell has decided not to expand Alaska's Medicaid program, citing the recent issues with the Patient Protection and Affordable Care Act's launch.

The District of Columbia insurance commissioner has lost his job after publicly criticizing the president's decision to allow insurance companies to keep offering health plans that don't meet the reform law's requirements next year, according to a report from The…

Brownsville (Texas) Doctors Hospital is facing a $1.9 million suit from creditor Key Equipment Finance, according to a Brownsville Herald report.

The House has voted 261-157 to pass legislation allowing insurance companies to continue offering non-grandfathered health plans next year that don't meet Patient Protection and Affordable Care Act requirements, according to a report from The Hill.

On the face of it, complying with the Fair Labor Standards Act would seem to be simple: be sure to pay your non-exempt employees the minimum wage — federal, state or local, as applicable — and then pay them one…