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Legal & Regulatory Issues

Currently, health insurers' Medicare physician directories that inaccurately include non-Medicare providers are merely an inconvenience for consumers. However, beginning in 2016, insurers can incur costly fines for such mistakes, according to The Wall Street Journal.

Savannah, Ga.-based Memorial Health, the parent corporation of Memorial Health University Medical Center, Provident Health Services, and Memorial Health University Physicians, has inked a $9.8 million settlement to resolve False Claims Act and Stark Law allegations, according to the Department…

Harold Persaud, MD, a cardiologist in Westlake, Ohio, received a 20-year sentence this month for performing unnecessary procedures as part of a scheme to overbill Medicare and private insurers. Dr. Persaud is now claiming the Affordable Care Act is responsible…

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A proposed merger between Downers Grove, Ill.-based Advocate Health Care and Evanston, Ill.-based NorthShore University HealthSystem has been put on hold after the two hospital chains and the Federal Trade Commission agreed to a temporary restraining order to stop the…

Seven weeks after Erie County Medical Center's board of directors unanimously voted to remove Richard Cleland as CEO, the Buffalo, N.Y.-based hospital has agreed to pay him $1.2 million, according to The Buffalo News.

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