Contrary to media headlines closely monitoring the lower- and mid-level federal courts as they opine on the individual insurance mandate, the United States Judiciary Branch may have little impact on the future of President Barack Obama's 2010 Patient Protection and…
Legal & Regulatory Issues
Gibson General Hospital in Princeton, Ind., has made a civil settlement to resolve allegations that the hospital assumed billing for its surgery center to receive larger Medicare and Medicaid payments than if the billing had come from the surgery center,…
Here is a list of 15 of the biggest False Claims Act and anti-kickback stories involving hospital and health systems in 2011. The entries are listed in chronological order.
Physicians accused of accepting kickbacks from pharmaceutical companies rarely face consequences, as none of more than 75 physicians named as participants in marketing fraud or kickback suits have been sanctioned since 2008, according to a ProPublica report. Reporters from ProPublica,…
A proposal by the Utah Medicaid program to move Medicaid recipients into ACO-like arrangements with managed care plans has been well received by federal regulators, but a proposed increase in deductibles are unlikely to gain approval, according to a Salt…
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The American Hospital Association has issued a comment letter to CMS on its proposed rule for non-profit consumer operated and oriented health plans, outlining several proposed rules that it believes will inhibit the development of the plans, according to an…
Four states have passed legislation that would establish a healthcare interstate compact and replace federal healthcare programs with block grants to states, according to a Washington Post report.
Researchers have suggested the Pentax AWS laryngoscope not be routinely substituted for the Macintosh laryngoscope and #4 blade in morbidly obese patients, according to a study published in the Sept. 2011 issue of Anesthesia & Analgesia. Read the full report…
Tufts Medical Center in Boston has filed a lawsuit against the National Kidney Foundation, alleging the foundation owes $1.4 million for research and assistance hospital researchers provided in drafting diagnosis and treatment guidelines for kidney disease, according to a Boston…
WellStar Health System, based in Marietta, Ga., has submitted a challenge to Northside Hospital-Cherokee's plan to relocate to a new site, according to a local Patch report.