Two senators are scrutinizing three major payors and two clinical lab testing companies, seeking information about potential “pull-through” schemes, according to a news release from the U.S. Senate Committee on Finance. Chuck Grassley (R-Iowa) and Max Baucus (D-Mont.) sent letters…
Legal & Regulatory Issues
Ohio residents voted yesterday to approve an amendment to the state Constitution that would block the highly contentious insurance mandate provision of the healthcare reform law, according to a Columbus Dispatch report.
The American Center for Law and Justice, a co-plaintiff in lawsuit originally filed by Susan Seven-Sky, a New York chiropractor, has said it plans to appeal the decision of a Washington D.C. appeals court yesterday rejecting its appeal challenging the…
A federal court of appeals in Washington D.C., has ruled in a 2-1 vote to uphold the constitutionality of the insurance mandate under President Obama's healthcare reform law, according to a Politico report.
New Milford (Conn.) Hospital has agreed to pay the federal government approximately $472,000 to resolve a complaint that it overbilled Medicare for prostate cancer treatments, according to a Hartford Courant report. The U.S. Department of Health and Human Services alleged…
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Representative Bob Filner (D-Calif.) has asked federal officials to investigate Ontario, Calif.-based Prime Healthcare Services for possible “systematic fraud,” according to a report from the investigative news outlet California Watch. Rep. Filner sent a letter to the Office of Inspector…
The Justice Department filed a suit last week in Orlando federal court against Daytona Beach, Fla.-based Halifax Health alleging the health system violated the anti-kickback law in financial arrangements with physicians and submitted false claims as a result, according to…
Carlisle (Pa.) Regional Medical Center has been cited by The Joint Commission for failing to provide care to the patient after operative or high-risk procedures and/or the administration of moderate or deep sedation or anesthesia, among other deficiencies, according to…
A bipartisan group of representatives, led by Reps. Ron Kind (D-Wis.) and Jo Ann Emerson (R-Mo.), are urging the debt reduction committee to protect critical access hospitals as they consider proposals for $1.5 trillion savings, according to an AHA News…
Drugmaker GlaxoSmithKline has agreed to a $3 billion settlement with the United States to resolve investigations of possible price irregularities and the marketing of the diabetes drug Avandia, according to a New York Times report. The settlement would be the…