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Legal & Regulatory Issues

A group of 115 hospitals sued HHS in an attempt to prevent the department from retroactively changing how it calculates Medicare Part A disproportionate share hospital payments for patients who were enrolled in Medicare Advantage plans under Part C of…

Aetna got a partial win in a proposed class-action lawsuit that claims the health insurer wrongfully denied coverage for a cancer treatment called proton beam radiation therapy, according to court documents. 

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Three spine care providers in Tennessee agreed to pay a total of $1.72 million to resolve allegations they submitted improper claims to Medicare and TennCare for electro-acupuncture using a device that does not qualify for reimbursement, the Department of Justice…

From an appeals court rejecting hospitals' challenge to a price transparency rule to a medical device company CEO charged with fraud, here are the latest healthcare industry lawsuits making headlines. 

Forty-six hospitals sued HHS Secretary Alex Azar for the allegedly unlawful reversal of hospital debt policy, which they say has raised their debt payments by nearly $1.4 million.

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