The Stark law prohibits physicians from ordering designated health services for Medicare patients from entities with which the physician, or a family member, has a financial relationship unless an exception applies. This article reviews 11 key concepts under the Stark…
Legal & Regulatory Issues
James Durham, MD, of Benton, Ill., pleaded guilty to charges that he overcharged Medicare and Medicaid for services, according to a report by the Southern Illinoisan.
A Superior Court ruled that Anthem Blue Cross Blue Shield cannot end its contracts with St. Francis Hospital in Indianapolis, Ind., according to a report in the Indianapolis Star.
A group of medical leaders have called upon professional medical associations to reduce and eliminate contributions from pharmaceutical and medical device manufacturers, calling the practice "a threat to quality patient care and professional integrity," according to a news release from…
Senator John D. Rockefeller IV (D-W.V.) is holding hearings to investigate whether or not healthcare insurers have "systematically short-changed" patients when they use out-of-network providers, according to a report in The New York Times and a news release from Sen.…
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The American Society of Anesthesiologists has sent a letter to the Department of Health and Human Services Inspector General Daniel Levinson, urging his office to issue a Special Advisory Bulletin on the economic model, or company model, of compensation for…
A new law in Illinois will reduce what hospitals can charge uninsured patients and cap the amount of money they can collect in payment, according to a report in the Chicago Tribune.
The Obama administration and the Centers for Medicare and Medicaid Services set new terms for private Medicare plans in an effort to protect patients from paying high charges, according to a report in the Wall Street Journal.
New York Governor David Paterson and state legislators agreed to a budget that includes $2.3 billion in healthcare cuts, which will help close a budget deficit of $17.7 billion, according to a news release from Gov. Paterson's office.
The Methodist Hospital in Houston agreed to pay $9.9 million to settle allegations that it improperly increased charges to Medicare patients, according to a report in the Houston Chronicle.