A new report (pdf) by the Government Accountability Office calls on HHS to "determine the feasibility of making estimates of complete costs of healthcare services available to consumers, and, as appropriate, identify next steps."
Legal & Regulatory Issues
Pfizer has agreed to pay $14.5 million to settle False Claims Act allegations related to the marketing of its drug Detrol, according to a news release from the Department of Justice. This settlement resolves the last of a group of…
Two interventional cardiologists at Doctors Hospital of Sarasota (Fla.) oppose the hospital's plans for a stent program due to patient safety concerns, according to a Herald-Tribune report.
A tax law called the Anti-Injunction Act could delay a Supreme Court ruling on healthcare reform as the law prohibits courts from striking taxes before they go into effect, according to a report by The Hill.
The federal government has filed a suit against Kernan Hospital, an orthopedic and rehabilitation hospital in Baltimore, over allegations that it improperly billed Medicare and Medicaid for a severe form of malnutrition, according to a Baltimore Sun report. The suit…
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The U.S. Court of Appeals in St. Paul, Minn., became the fourth appeals court to consider a challenge against the Patient Protection and Affordable Care Act, as it heard arguments in a case brought by two Missourians, according to a…
The National Federation of Independent Business, a plaintiff in one of the highest-profile lawsuits against the healthcare reform law has filed its brief with the U.S. Supreme Court a week earlier than required in hopes that the high court will…
Pikeville (Ky.) Medical Center has settled a whistleblower lawsuit with the federal government alleging that it improperly billed Medicare for work done in its pain management clinic, according to an Associated Press report featured in The Republic. Whistleblower Michael Fletcher,…
In the past six years, the federal government has more than tripled the amount of money gained through Medicaid fraud prosecutions, according to a USA TODAY report. The government gained $573 million in 2004 compared to 2010’s $1.85 billion. This…
A state audit shows New Jersey may be overpaying for Medicaid because the largest Medicaid plan in the state is allegedly not pursuing fraudulent claims aggressively enough, according to a Bloomberg Businessweek report. Comptroller Matthew Boxer has said that Horizon…