CMS has issued a final rule allowing states to create alternative benefits packages for certain Medicaid populations, according to the Federal Register.
Legal & Regulatory Issues
WellPoint, which runs Anthem Blue Cross in California, withdrew its request for rate increases in California's individual insurance market after the state's insurance commissioner found flaws with the company's methodology, according to a report in The Wall Street Journal.
In a filing this week, Washington officials asked D.C. Superior Court to seize control of United Medical Center, formerly called Greater Southeast Community Hospital, as the hospital has been unable to pay bills or taxes or meet its retirement plan…
The U.S. Department of Justice has opened a civil investigation into possible anticompetitive behaviors by Boston-based Partners HealthCare System and issued letters requesting information related to the system's contracting procedures with health insurers to Partners and Massachusetts' three largest insurance…
A federal judge in a California district court has denied a motion to dismiss antitrust claims by a California physician group and two physicians against Children's Hospital Central California in Madera, Calif., and two other medical practices, according to court…
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At the request of the American College of Radiology, House Energy & Commerce Chair Henry Waxman (D-Calif.), Ways & Means Committee Chair Sandy Levin (D-Mich.) and Ways & Means Subcommittee on Health Chair Pete Stark (D-Calif.) recently called on the…
Tri-City Medical Center in Oceanside, Calif., is suing Citigroup for up to $20 million, claiming that the investment bank didn't warn the hospital about the risk of refinancing debt using variable-rate bonds, according to a report by the Mercury News.
Santo Saglimbeni and Emilio Figueroa, both maintenance and facility services officials at New York-Presbyterian Hospital, have been charged with fraud for accepting payments and gifts in exchange for contracts with the hospital, according to a report by the Wall Street…
Citing recent legal cases involving surgical technicians, Colorado State Representatives Debbie Benefield and Sara Gagliardi outlined new legislation they introduced that calls for a surgical tech registry for the state, according to a guest commentary in The Denver Post.
Between healthcare reform, increased enforcement under the Anti-Kickback Statute, less patience on the part of physician leaders for underperforming surgery centers and increased pressure from payors on out-of-network arrangements, it is an interesting time to write about legal issues in…