By Jim Saunders | July 7, 2017
In a case that could involve hundreds of millions of dollars, the Florida Supreme Court upheld a state law that directed Sarasota County to reimburse private hospitals for providing care to indigent patients.
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By Josefa Velasquez | July 7, 2017
The Department of Financial Services on July 6 said that no insurer participating in the state's health exchange will cap the number of people who enroll for coverage, as insurers offering plans on other state health exchanges across the country have done.
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By P.J. D'Annunzio | July 7, 2017
The owners of a now-defunct Philadelphia hospice have agreed to pay $8.8 million to settle claims that they received taxpayer money for services that were either unnecessary or never provided, federal prosecutors announced Thursday.
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By Evan H. Krinick | July 5, 2017
Insurance Fraud columnist Evan H. Krinick writes: There seems to be no limit to the kinds of schemes that people create to defraud insurance companies and, by extension, the public, through higher premiums. Now, however, the New Jersey Supreme Court has issued a unanimous decision that certainly will help to reduce insurance fraud in New Jersey—and that, if its reasoning is adopted by other jurisdictions, likely will have the same effect in states across the country.
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By newyorklawjournal | New York Law Journal | July 5, 2017
Evidence Supports ALJ's Finding on Disability; Opinion's Misattribution Not Significant
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By Jennifer B. Cona | July 3, 2017
Jennifer Cona writes: The imposition of unwanted medical treatment still happens today in the context of incapacitated patients who reside in hospitals and nursing homes due to an apparent conflict between limitations placed on the powers of a guardian in some court jurisdictions versus the standards set forth under the Family Health Care Decisions Act.
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By Rebecca Cohen | June 30, 2017
Williams Adams, a member of the management committee at Michelman & Robinson, managing partner of the firm's San Francisco office and its local litigation head, is headed to Nossaman along with new partners David Lee and Ilse Scott.
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By R. Robin McDonald | June 29, 2017
With her supervisors' encouragement, the manager of the Dalton office of a children's dental clinic that catered to Medicaid recipients created an overheated incentive program to recruit new patients—without knowing it likely violated federal regulations.
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By Richard Strassberg and William Harrington | June 29, 2017
In their Federal Civil Enforcement column, Richard Strassberg and William Harrington write: The eClinicalWorks settlement and OIG report will likely prompt a significant increase in enforcement activity related to electronic health records incentive payments. The authors review these developments, their ramifications, and steps EHR companies and health care providers can take to protect themselves from liability related to EHR incentive payments below.
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By Josefa Velasquez | June 28, 2017
New York state is taking regulatory steps to ensure that health insurers maintain coverage for certain benefits currently provided under federal law…
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