New York City-based health insurer Emblem Health has agreed to pay a $1.2 million civil penalty and reimburse its members up to $31 million for mental health claims that were wrongfully denied, according to the New York Attorney General.
Legal & Regulatory Issues
The following is a roundup of recent healthcare industry legal settlements that have been reported in the last 30 days.
Senate Democrats have introduced legislation that would override the U.S. Supreme Court's ruling that for-profit corporations may refuse to provide their employees with insurance coverage for contraceptives if the owners have religious objections to certain forms of birth control, according…
An agreement pending final approval has been reached in the second part of the lawsuit against Daytona, Fla.-based Halifax Hospital Medical Center and Halifax Staffing, according to a report from The Daytona Beach News-Journal.
The government has intervened in a False Claims Act lawsuit filed against hospitals in New York over the hospitals' alleged failure to return Medicaid overpayments within 60 days of identifying them, according to a National Law Review report.
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A new study has found hospitals are not using electronic health records to increase the bills they are submitting to Medicare.
A class-action lawsuit has been filed against Anthem Blue Cross alleging the company provided misinformation to millions of insurance enrollees concerning out-of-network coverage and in-network provider lists.
In a healthcare environment, one likely expects professionalism, great employee relations and few, if any, employment law issues. In many cases, those assumptions are correct. However, when a claim of harassment, discrimination or retaliation occurs in a healthcare environment, particularly…
The American Council of Life Insurers has filed a lawsuit against the D.C Health Benefit Exchange Authority challenging the constitutionality of a tax on insurers meant to fund the D.C. health insurance exchange, according to a Washington Post report.
The U.S. Supreme Court has agreed to review a case involving the Wartime Suspension of Limitations Act — an issue that has been central to recent False Claims Act litigation.