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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.

Anthem agrees to record $16M settlement over largest health data breach in US history

October 16, 2018

Anthem under a settlement with HHS' Office for Civil Rights will pay $16 million to settle potential privacy and security violations related to a 2015 data breach, but the company says it is unaware of any fraud or identity theft related to the breach and did not admit to any liability as part of the settlement.

Judge orders CMS to pay $1.2M in cost-sharing reduction payments to co-op

October 9, 2018

A federal claims court judge who last month ruled that the Trump administration erred in its decision not to pay insurers cost-sharing reduction (CSR) payments is now ordering CMS to pay Montana Health co-op more than $1.2 million in CSR payments.

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