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.
Legal & Regulatory Issues
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…
Two federal lawsuits — one brought on behalf of healthcare providers and one on behalf of individual and small-employer customers — claim Blue Cross and Blue Shield insurers are engaging in cartel-like behavior by divvying up markets to avoid competing…
CMS is seeking a contractor to build and maintain a website to streamline information from Medicare review programs on enforcement actions against Medicare providers.
A recent U.S. Supreme Court ruling in a lawsuit involving the application of the Wartime Suspension of Limitations Act to False Claims Act cases could have healthcare industry implications.
Non-compete clauses have become a growing problem for Washington state physicians. Many say restricting where physicians can practice amid a physician shortage and deficiency of services in rural areas can mean patients' options for attaining necessary medical care are increasingly…