Compliance & Legal

DOJ charges providers in $2B fraud take-down
Jul 02, 2018 | Beth Jones Sanborn
Authorities are calling the bust the largest in history, with hundreds charged including…
Court ruling gives Prime hospitals the right to sue Humana
Jun 25, 2018 | Susan Morse
Precedent-setting case will affect providers nationwide when they feel insurers have breached…
Doctors indicted in 15-year $580M kickback scheme
Jun 19, 2018 | Beth Jones Sanborn
Surgeons allegedly were paid millions in exchange for referring spinal surgeries to the…
CEO, physicians indicted in $200M Medicare fraud
Jun 15, 2018 | Beth Jones Sanborn
Alleged scheme preyed on Medicare beneficiaries, some of whom were addicted to…
AHIP files court brief to prevent dismantling of ACA
Jun 15, 2018 | Susan Morse
AHIP focuses on the impact that a preliminary injunction or declaratory relief would have on patients, health…
Court rules against insurers in risk corridors payments
Jun 14, 2018 | Susan Morse
Between 2014 and 2016, total payments fell short by more than $12 billion.
Close to have of physicians report sexual harassment
Jun 13, 2018 | Jeff Lagasse
About 47 percent of physicians who indicated they had been harassed said they were harassed by another…
Signature Healthcare hit with $30M settlement over alleged billing scheme
Jun 12, 2018 | Beth Jones Sanborn
The Kentucky-based skilled nursing provider also allegedly forged pre-admission certifications…
Judge orders Maine to expand Medicaid
Jun 07, 2018 | Susan Morse
Expansion benefits include care quality and a reduction in uncompensated care costs.
Oncologists sue HHS over Part B drug payment cuts
Jun 01, 2018 | Susan Morse
The cuts have forced the closure or acquisition of numerous independent cancer clinics and upped the…