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Legal & Regulatory Issues

CMS released a final rule Monday, containing standards for health insurers selling coverage through the Affordable Care Act exchanges. The president of the AmericanCollege of Emergency Physicians Jay Kaplan, MD, has criticized the agency for failing to address the problem…

The vast majority — 78 percent — of medical malpractice lawsuits levied against hospitalists include the three most prevalent patient allegations: failed, delayed or wrong diagnosis; improper management of treatment; and medication-related error, a study by The Doctors Company found.

In a letter to the Department of Justice, the American Hospital Association said Anthem's proposed acquisition of Cigna would reduce the ability of other health insurers to compete with Blue Cross Blue Shield plans.

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A circuit judge has denied Sioux Falls (S.D.) Specialty Hospital's request that Sanford Health Plan rewrite its health insurance contracts into a single network plan in keeping with the state's patient choice law, reports Argus Leader.

The following hospitals, health systems and healthcare providers entered into settlement agreements to resolve alleged violations of the False Claims Act since Feb. 1.

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