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Appeals court denies insurers' request to rehear cases over ACA risk corridor payments

November 8, 2018


A full panel of judges for the U.S. Court of Appeals for the Federal Circuit has denied a request from four health insurers to rehear their cases claiming the federal government owes millions of dollars in risk corridors payments, and at least two of the insurers intend to appeal the case to the Supreme Court.

Hospital groups will sue to stop Medicare's latest site-neutral payment change

November 5, 2018


Several health care industry groups are pushing back on CMS' plan to implement site-neutral payments in its 2019 Hospital Outpatient Prospective Payment System final rule, and the American Hospital Association and its member hospitals are planning to challenge the change in court.

Judge urges health care groups to drop request to block Trump's short-term health plan rule

October 30, 2018


U.S. District Judge Richard Leon during oral arguments last week said health care groups should drop their request for a preliminary injunction to block the Trump administration's short-term health plan rule because they do not have proof that they have been harmed by the rule.

Many top hospitals aren't meeting requirements to let patients access their medical records, study finds

October 29, 2018


Many top-ranked hospitals do not comply with federal and state regulations for completing patient requests for their medical information, according to a study published earlier this month.

Doctors need to learn how to make mistakes—and apologize

October 25, 2018


Physicians often are hesitant to apologize for medical mistakes—an issue that might be solved by implementing a "no-fault system" under which patients' requests for compensation because of a medical error are based on injury from medical care rather than proof of negligence from a doctor, Sara Manning Peskin, a neurology resident at the University of Pennsylvania, argues.

Paying physicians to boost screenings isn't an illegal kickback, HHS' OIG suggests

October 25, 2018


A Medicaid managed care insurer can pay doctors bonuses to increase preventive screenings and it will not be considered kickback, according to an advisory opinion from HHS' Office of Inspector General.

How Rockefeller University Hospital is handling allegations of sexual abuse by a prominent former physician

October 22, 2018


Multiple patients have come forward to accuse Reginald Archibald, a former endocrinologist specializing in children's growth at Rockefeller University Hospital, of sexual abuse during physical exams.

On Trump's fall 2018 health care agenda: Medicare Part D changes, Medicaid premiums, and more

October 19, 2018


The White House and federal agencies this week released their fall regulatory agendas, setting the stage for new health care regulations for the Affordable Care Act's exchanges, Medicaid, Medicare, and more.

Another insurer prevails in lawsuit seeking cost-sharing reduction payments

October 19, 2018


A federal claims court judge last week ordered CMS to pay Sanford Health Plans about $360,000 in cost-sharing adjustment payments called for under the Affordable Care Act, giving insurers another win in cases contesting the Trump administration's decision to cut off the payments.

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