Two Texas physicians agreed to pay $3.9 million to resolve allegations they submitted false claims to government insurers for medically unnecessary urine drug testing, the Justice Department said Oct. 22.
Legal & Regulatory Issues
Johns Hopkins Medicine's insurance arm, Hopkins Health Advantage MD, is cutting back its reach, dropping about 5,000 customers in Baltimore and Calvert County, Md., The Baltimore Sun reported Oct. 22.
President Joe Biden said during an Oct. 21 town hall that expanding Medicare would be an uphill battle.
In a lawsuit filed in the U.S. District Court Oct. 20, parents in nine Western Pennsylvania communities allege that they are met with blanket refusal from UPMC physicians to sign medical exemptions allowing their children to attend school without masks.
After receiving pushback from retirees, New York City's new Medicare contract for city retirees will be paused indefinitely, a state Supreme Court judge ruled Oct. 21.
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A report from Rob Sand, Iowa's auditor of state, found that privatizing the state's Medicaid program in 2016 resulted in an 891 percent increase in patients who were allegedly illegally denied care.
A new piece of bipartisan legislation introduced in the Senate is looking to revamp the prior authorization process for Medicare Advantage beneficiaries.
From a for-profit hospital operator seeking to have an antitrust case dismissed to hospital groups asking the U.S. Supreme Court to reverse a ruling, here are the latest hospital lawsuits making headlines.
A district court denied Indianapolis-based Community Health Network's motion to dismiss a false claims lawsuit brought by the Justice Department alleging that it engaged in a fraud scheme to keep referrals in its network.
A recent audit of Tennessee Medicare found that of the $2 billion in certified public expenditures it claimed during the audit period of 2009 to 2014, $909.4 million was allowable while $1.1 billion was not.