The Trump administration says it will mail $500 checks to nearly one million Americans in 30 states to refund what it called “overcharges” from ACA exchange fees collected under the Biden administration. On Sept. 10, the White House said insurers…
Legal & Regulatory Issues
San Francisco-based Dignity Health and Dignity Community Care filed a lawsuit against Gold Coast Health Plan Aug. 24, alleging more than $30 million in unpaid bills. The Dignity entities, under Chicago-based CommonSpirit Health, include St. John’s hospitals in Ventura County,…
From The Village Health agreeing to pay more than $500 million to resolve allegations it violated the False Claims Act, to a Georgian national indicted for his role in an alleged $1.3 billion scheme, here are 10 healthcare billing fraud…
Ascension Saint Thomas Hospital Midtown and Saint Thomas West in Nashville, Tenn., could lose their Medicare provider agreements effective Sept. 18 after the health system failed to submit an acceptable safety plan following an Aug. 14 medication error, according to…
Hospitals are increasingly being cited for how they supervise nursing care — and, above all, for how they oversee the contract and travel nurses they leaned on during the workforce crisis, according to a Becker’s analysis of CMS inspection data.…
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Hospitals are being cited for violating the federal emergency-care law more often than at any point in more than a decade, according to a Becker’s analysis of CMS inspection data. Deficiencies under the Emergency Medical Treatment and Labor Act —…
A man died after he was shot by a hospital security officer in the emergency department at Memorial Hermann Memorial City Medical Center in Houston on Sept. 5, according to a Sept. 8 Houston Police Department news release. The man,…
Marshall, Mo.-based John Fitzgibbon Memorial Hospital and its long-term care affiliate, Fitzgibbon Health Services, sued planned buyer Strawberry Fields and operator American Medical Administrators Sept. 2, alleging they backed out of their court-approved sale at the last minute. In the…
Federal regulators have issued a preliminary determination to terminate the Medicare provider agreement of Granite City, Ill.-based Gateway Regional Medical Center, as of Nov. 17. The move follows an Emergency Medical Treatment and Labor Act complaint investigation the Illinois Department…
House Democrats are discussing a healthcare policy agenda that could include an expansion of the Medicare program, the Washington Post reported Sept. 3. House Minority Leader Hakeem Jeffries told NBC News that reversing the Medicaid cuts under H.R.1 and reviving…