New York-based Group Health Incorporated, a subsidiary of EmblemHealth, has agreed to establish a $3.5 million consumer assistance fund to provide financial relief to members for its violations of out of network disclosure requirements.
Oakland, Calif.-based Kaiser Permanente has agreed to pay a $4 million fine for failing to provide adequate access to mental health services for its patients, according to a Sacramento Business Journal report.
King of Prussia, Pa.-based Universal Health Services has agreed to pay $65 million to resolve a 2009 shareholder class-action lawsuit against Psychiatric Solutions — a UHA subsidiary — over allegedly misleading investors by failing to disclose information about violence at…
The following is a roundup of False Claims Act stories reported in the last 30 days, beginning with the most recent.
Long Beach, Calif.-based Molina Healthcare's Washington subsidiary has agreed to pay approximately $19.2 million to the Washington Health Care Authority to settle overpayment allegations, according to a recent Securities and Exchange Commission filing.
The United States filed two complaints under the False Claims Act related to physician-owned distributorships.
The Stark Act and its penalties are a common source of worry for physicians and hospitals, as physicians' financial relationships are subject to increasing scrutiny by federal and state enforcement agencies. Additionally, violations of the Stark Act may be used…
The American Hospital Association, the American Medical Association, and the U.S. Chamber of Commerce have filed a friend-of-the-court brief urging the U.S. Supreme Court to reverse a Fourth Circuit Court of Appeals decision that applied the Wartime Suspension of Limitations…
Because codes for Patient Safety Indicators often do not map directly from ICD-9 to ICD-10, the transition to ICD-10 may cause the frequency of adverse events to be misreported, according to a recent study in the Journal of the American…
It is not uncommon to see major cases involving the Anti-Kickback Statute headlining hospital and health system news. This federal regulation prohibits the offering, solicitation or acceptance of any type of gift or remuneration in exchange for rewarding referrals for…
