The ranking member of the Senate Health, Education, Labor and Pensions Committee on Saturday said HHS Secretary Kathleen Sebelius may be violating federal law in her fundraising efforts to help implement the 2010 healthcare overhaul. FULL STORY »
The next time whistle-blower attorney Joel Androphy sits down for a settlement conference with hospital lawyers, he'll have a potent new tool in his arsenal: last week's $39 million Stark law jury verdict against Tuomey Healthcare System in Sumter, S.C. FULL STORY »
By Modern Healthcare | May 11, 2013
| Print Magazine
LOS ANGELES—Roseville, Calif.-based Adventist Health agreed to pay $14.1 million to resolve allegations that it improperly compensated physicians who referred patients to the system's White Memorial Hospital in Los Angeles. White Memorial also agreed to enter a five-year corporate... FULL STORY »
By Andis Robeznieks | May 11, 2013
| Print Magazine
As Congress drafted elements of the Patient Protection and Affordable Care Act that would tie Medicare payments to quality metrics, the House of Representatives added a provision that would shield physicians from lawsuits tied to their failure to meet those marks. FULL STORY »
A federal judge in New York on Friday declined to temporarily halt a court order directing the U.S. Food and Drug Administration to make emergency contraception available over the counter to girls of all ages. FULL STORY »
By Matt Dunning, Business Insurance | May 10, 2013
A former senior executive of a pharmaceutical research firm is suing the company, claiming he was fired for taking a stand against its alleged practice of scrutinizing intimate details of job applicants' personal lives. FULL STORY »
Individuals who act as navigators assisting consumers in applying for health coverage through state insurance exchanges should have extensive training and exam-based certification, the trade association for brokers and agents has told the CMS. FULL STORY »
By Judy Greenwald, Business Insurance | May 09, 2013
Quest Diagnostics Inc. will pay a $70,000 penalty and no longer automatically disqualify job applicants with prior arrests or criminal convictions as part of a settlement agreement with the New York attorney general's office. FULL STORY »
A, jury concluded that Tuomey Healthcare in Sumter, S.C., violated the False Claims Act by submitting tens of thousands of illegal bills to Medicare worth $39 million. FULL STORY »
A provision in the U.S. House of Representatives' version of the Patient Protection and Affordable Care Act that was left out of the Senate version has been resurrected and signed into law in the state of Georgia. FULL STORY »