If health insurer Florida Blue and Orlando-based Florida Hospital do not come to an agreement over their contract by June 1, Florida Blue members will have to find new providers or pay out-of-network costs for care at Florida Hospital facilities,…
Legal & Regulatory Issues
The U.S. Supreme Court has instructed the Seventh Circuit Court of Appeals in Chicago to reconsider its decision in a case brought by the University of Notre Dame, which challenges the Patient Protection and Affordable Care Act's contraception provision, according…
A New York physician has admitted he and other medical providers at his clinic submitted $14.2 million in fraudulent claims to Medicare for medically unnecessary treatments, according to the Department of Justice.
Federal investigators are preparing to file criminal charges against New Jersey Sen. Robert Menendez (D), who has been the subject of an FBI investigation for more than two years due to his ties to Salomon Melgen, MD, according to The…
Health insurer Aetna did not have authorization from the North Carolina Department of Insurance when it sold policies to an estimated several hundred residents in the state, according to The News & Observer.
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From Los Altos, Calif.-based Daughters of Charity Health System suing Service Employees International Union over a hospital deal to Aetna hitting a Texas hospital with a $120 million kickback lawsuit, here are the latest healthcare industry lawsuits and settlements.
The Ninth Circuit Court of Appeals has rejected the Federal Trade Commission's attempt to expedite Boise, Idaho-based St. Luke's Health System's divestiture of Saltzer Medical Group in Nampa, Idaho, despite the court's earlier ruling that the acquisition of the medical…
The U.S. Supreme Court began hearing arguments Wednesday in King v. Burwell, the case that will determine whether people in all states will receive health insurance subsidies under the Patient Protection and Affordable Care Act.
The Federal Trade Commission and the Department of Justice's Antitrust Division recently held a workshop on trends in healthcare payment models and their effects on competition, according to a report published in JD Supra Business Advisor.
The U.S. Supreme Court is hearing arguments in King v. Burwell this morning. The case could decide the fate of a major portion of the Patient Protection Affordable Care Act: the subsidies approximately 7 million middle-income people across more than…