Legal & Regulatory Issues

Two federal antitrust lawsuits advancing in a federal court in Alabama are alleging Blue Cross and Blue Shield insurers are functioning as an illegal cartel by divvying up markets to avoid competing against one another, according to The Wall Street…

Insurance and health officials from across the U.S. gathered in Chicago in early May for a 24-hour secret meeting to discuss their options if the Supreme Court rules this month to restrict subsidies to residents in states that established their…

With a U.S. Supreme Court decision looming in the case King v. Burwell, many are wondering how the outcome could affect hospitals, health systems, insurers and everyday Americans.

With the Supreme Court ruling on King v. Burwell under a month away, the Obama administration is doubtful Congress could pass a "fix" if the court rules in favor of the plaintiff, according to The Hill.

Health insurers with proposed rate hikes above 10 percent for plans sold on the Patient Protection and Affordable Care Act's insurance exchanges were made available online on Monday.

Commonwealth Court President Judge Dan Pellegrini granted the state's motion on Friday, requiring UPMC to continue to provide in-network access to Highmark Medicare Advantage members until 2019, which is the duration of the consent decree UPMC and Highmark entered into…

U.S. District Judge Rosemary Collyer on Thursday grilled U.S. Justice Department Lawyer, Joel McElvain, JD, during a hearing in the U.S. District Court for the District of Columbia in which the Obama administration filed a motion to dismiss a lawsuit…

A group of community activists in Lakewood, Ohio, have filed a lawsuit against Cleveland Clinic in an attempt to get the system to continue leasing Lakewood Hospital through 2026 instead of closing it and opening a family health center and…

Terrance King, a 23-year-old Dallas man was arrested Tuesday after police say he posed as a physician at Children's Medical Center Dallas and later stole an ambulance from Medical City Dallas Hospital, according to The Dallas Morning News.

CMS unveiled a regulatory package containing the first major update to Medicaid managed care regulations in more than 10 years this week, and health insurers opposing some of the provisions are planning to challenge the proposed rule before it is…