Maine Superintendent of Insurance Eric Cioppa has decided Anthem Blue Cross and Blue Shield cannot make customers in the state change healthcare providers under a new, narrow-network insurance plan, according to a Portland Press Heraldreport.
Legal & Regulatory Issues
The University of Miami Hospital will have to repay more than $3.7 million to the federal government after a compliance review from the HHS Office of Inspector General found the hospital incorrectly billed Medicare on multiple inpatient claims.
The groundbreaking for Centegra Huntley (Ill.) Hospital, part of Crystal Lake, Ill.-based Centegra Health System, has been delayed as a result of an ongoing legal battle with regional competitors Advocate Health Care in Oak Brook, Ill., Sherman Health System in…
A physician will receive $3.7 million in damages in his civil lawsuit against Columbus, Ohio-based Mount Carmel Health System and three physicians after a jury found the defendants discriminated against the plaintiff, who is black, according to a Columbus Dispatch…
As you've no doubt heard by now, the federal government's health exchange website, www.healthcare.gov, has experienced more than a few glitches since open enrollment began last week, including being inaccessible at times due to overwhelmingly high levels of traffic. One…
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A federal judge has ordered Sumter, S.C.-based Tuomey Healthcare System to pay approximately $237 million in damages after a federal jury found the system violated Stark Law and the False Claims Act by submitting $39 million in false claims to…
The American Hospital Association has updated its Medicare hospital payment calculators for value-based purchasing, readmissions reduction and disproportionate share hospitals for fiscal year 2014 based on a CMS correction notice.
The University of New Mexico Hospital in Albuquerque is facing a class action lawsuit alleging the hospital provided substandard pediatric cancer care between 1977 and 1997, according to a report in the Albuquerque Journal.
New York Yankees third baseman Alex Rodriguez has filed a lawsuit against the Yankees' team physician and New York-Presbyterian Hospital in New York City, contending he was improperly cleared to continue playing, according to an ABC News report.
Seattle Children's Hospital has filed suit against Washington state's Office of the Insurance Commissioner, claiming the current exchange will keep some patients from receiving care at the hospital as the majority of the plans available on the state's health insurance…