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Legal & Regulatory Issues

Standard & Poor's Rating Services Thursday warned the Affordable Care Act risk corridor program will continue to be significantly short on cash, which could be fatal for some insurance plans.

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

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HCA Holdings has entered into a preliminary agreement to pay $215 million to settle allegations the hospital giant concealed negative financial information from investors before its $4.35 billion initial public offering in March 2011.

The California Department of Managed Health Care has levied fines of $350,000 against Blue Shield of California and $250,000 against Anthem Blue Cross over inaccurate provider directories that overstated their physician networks during the rollout of Affordable Care Act coverage…

A state appeals court in San Francisco ruled Oct. 27 against Sacramento-based Sutter Health, denying its appeal to arbitrate allegations the health system uses its market dominance in North California to overcharge patients, employers and insurers, according to the Sacramento…

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