Proposed rules issued Oct. 9 by HHS' Office of Inspector General and CMS aim to limit the reach of the federal Anti-Kickback Statute and Stark Law. The rules include proposals for various value-based care arrangements to qualify for exceptions to…
Legal & Regulatory Issues
A whistleblower lawsuit filed by a former employee of HealthNow New York, the parent company of BlueCross BlueShield of Western New York and BlueShield of Northeastern New York, accuses the company of making "significant overpayments" to healthcare facilities across the…
A patient at Munster, Ind.-based Community Hospital alleges that her X-rays were illegally shown to her employer, according to The Indiana Lawyer.
Here are 10 articles recently published by Becker's Hospital Review on national and state news concerning Medicare Advantage:
New York Democratic Gov. Andrew Cuomo on Oct. 7 signed legislation prohibiting emergency response providers from disclosing or selling private patient information to third parties.
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A trial against Sacramento, Calif.-based Sutter Health began Oct. 8 over alleged anti-competitive practices in a case that promises to be significant for healthcare markets nationwide, according to The New York Times.
Lawmakers are urging federal regulators to investigate North Tampa Behavioral Health after the Tampa Bay Times published an investigative report about the Wesley Chapel, Fla.-based psychiatric hospital Sept. 18.
An ophthalmology group in California, its former CEO and several of its physicians paid the federal government and the state of California a combined $6.65 million to settle false claims allegations, according to the Department of Justice.
Current and former Trump administration officials told The Washington Post the federal government will seek a stay of enforcement if the ACA is struck down by a federal appeals court, which would effectively keep the ACA in place until replacement…
An emergency medicine physician filed a lawsuit Sept. 18 against Kaiser Permanente over its patient satisfaction scoring methodology, which she alleges incentivized overprescribing of opioids and hurt her career at the Oakland, Calif.-based health system, The News Tribune reports.