legal
publication date
Wisconsin AG, Leading ACA Critic, Loses Re-election Bid
Democratic Attorney General-elect Josh Kaul vows to withdraw Wisconsin from a multistate suit that challenges the constitutionality of the Affordable...
Don't Expect an ACA Ruling Before Election Day
An injuction against the Affordable Care Act would create chaos for the statute's Marketplace plans, which begin enrollment on November...
Vascular Access Centers to Pay $3.8M to Resolve False Claims Act, Anti-Kickback Allegations
The provider allegedly billed Medicare for non-reimbursable procedures, and offered improper remuneration to physician investors and medical directors.
DOJ Indicts 4 Florida Men in $1B Telemedicine Fraud Conspiracy
Private payers, including Blue Cross Blue Shield of Tennessee, were bilked out of about $174 million in the compounding pharmacy...
Aetna, Humana Resolve Disputes With New Jersey, Texas Authorities
Aetna will pay New Jersey $365,000 to settle two separate patient confidentiality breaches, and Humana will pay Texas $700,000 for...
Clinical Care
Jury Awards $50M in NorthShore Health Malpractice Suit
Plaintiffs say clinicians at the Evanston, Illinois health system failed to recognize signs of fetal distress that led to oxygen...
Finance
Broward Health Leadership Churn Raises Concerns
Analysts are looking askance at the C-suite turnover at the Ft. Lauderdale-based health system, which has had four CEOs in...
CMS Ordered to Pay $1.2M in Montana CSR Suit
The order follows a federal judge's ruling last month that CMS was still responsible for cost-sharing payments to Montana Health...
Strategy
In The Battle To Control Drug Costs, Old Patent Laws Get New Life
The strategies involve repurposing two obscure and rarely deployed workarounds in patent law. These ideas also are finding traction among...
Clinical Care
Assaults Against ER Physicians and Staff Rising
New research shows a significant increase in emergency department violence, but there are strategies to address the problem.
Finance
Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud
Medicare Advantage plans, which now enroll more than 1 in 3 seniors nationwide, have faced growing government scrutiny in recent...
Clinical Care
A Surgeon So Bad It Was Criminal
Christopher Duntsch's surgical outcomes were so outlandishly poor that Texas prosecuted him for harming patients. Why did it take so...