A circuit court judge in South Dakota has ruled that hospitals that grant physicians privileges to practice medicine in their facilities can be sued if they acted in bad faith or were unreasonable in granting those privileges, according to the…
Legal & Regulatory Issues
Health insurance plans through the Affordable Care Act could be making enrollees pay additional money for specialist care, according to a study published in JAMA.
After agreeing to a class-action lawsuit settlement, one of California's largest health insurers, Anthem Blue Cross, will refund $8.3 million to approximately 50,000 policyholders, according to the San Francisco Business Times.
In early October, Blue Shield of California said it is booting Stanford (Calif.) Hospital and Palo Alto, Calif.-based Lucile Packard Children's Hospital out of its individual and family plan networks next year due to high costs. That decision isn't sitting…
The owner of two Brooklyn, N.Y., medical clinics, Valentina Kovalienko, has pleaded guilty to her role in a $55 million healthcare fraud and money laundering conspiracy, and agreed to forfeit $29.3 million, which is traceable to her criminal conduct, according…
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The Federal Trade Commission and the antitrust division of the U.S. Department of Justice issued a joint statement saying the law in Virginia that requires state pre-approval for hospital expansions, opening surgery centers and purchasing some medical equipment inhibits competition,…
Four U.S. senators are asking the Federal Trade Commission to investigate possible collusion by saline solution suppliers to deliberately exacerbate a shortage of the solution to drive up costs, according to The Wall Street Journal.
The former CNO of Encino (Calif.) Hospital Medical Center, part of Ontario, Calif.-based Prime Healthcare Services' hospital network, has been awarded $1 million in a wrongful termination lawsuit after a Los Angeles jury concluded she was laid off in 2012…
Chicago-based Mobile Doctors CEO Dike Ajiri has pleaded guilty to fraudulently increasing Medicare bills for in-home treatment that was shorter and less complicated than the claims indicated, according to the Department of Justice.
In a 240-189 vote, the House voted on Friday to approve a budget reconciliation bill that would repeal key mandates of the Affordable Care Act and halt federal funding for Planned Parenthood, according to The Hill.