Search

The article reports on U.S. Supreme Court case King v. Burwell challenging the legality of subsidies in the U.S. Affordable Care Act along with the views of U.S. Department of Health & Human Services (HHS) Secretary Sylvia Mathews Burwell. Topics discussed include views of U.S. Solicitor General Donald Verrilli Jr., on the same, doubts raised by justice Anthony Kennedy on the petitioner's attorney Michael Carvin's statement, and Thomas Miller, a resident, favoring elimination of subsidies.

The article discusses the U.S. Supreme Court's hearing for the court case King v. Burwell, which discusses whether the language of Affordable Care Act (ACA) allows Americans to receive premium tax credits under federal insurance exchange. Topics discussed include support of U.S. Internal Revenue Service for subsidies in all states, allegation of plaintiffs regarding lack of clarity in ACA language and views of Tim Jost, a law professor at Lee University, on the same.

The article reports on the ruling by the U.S. Supreme Court in the case Universal Health Services vs. U.S. ex rel Escobar that a legal theory called implied certification may be used to bring False Claims Act cases against healthcare providers and others.

The article reports that more hospital deals could arise from the decision by U.S. District Judge Jorge Alonso to refuse to grant the U.S. Federal Trade Commission (FTC) a preliminary injunction to temporarily stop a merger between Advocate Health Care and NorthShore University HealthSystem. Topics covered include the FTC's intent to appeal the ruling, the claim by the FTC that the merger would lead to increased prices, and the two systems' plan to offer a low-cost insurance product.

The article discusses the balanced approach on the investigation of a complaint filed by whistle-blowers Thomas Schuhmann and Leatrice Ford alleging Medicare billing of 1,300 hospitals for implantable cardioverter defibrillators (ICDs). Topics include federal prosecutors Jeffrey Dickstein and Amy Easton issuing investigative demands and retaining an expert review team of electrophysiologists, cadiologists and heart failure specialists. Also cited are hospital settlement at 280 million dollars.

The article reports on the scheduled arguments between the U.S. Federal Trade Commission (FTC) and NorthShore University Health System and Advocate Health Care in May 2016. Topics covered include the focus of the conflict on the merger of the health care systems and the impact of the deal on care quality and costs. Also mentioned is the attempt of the hospitals to negotiate with insurers.

The article reports that the decision of a federal judge that the administration of U.S. President Barack Obama unconstitutionally spent money to pay for part of the Affordable Care Act may not immediately disrupt beneficiaries or health plans. Topics covered include the cost-sharing provisions of the Affordable Care Act (ACA) such as reduced deductibles and the coinsurance and copayments that many U.S. citizens receive.

The article reports on a hospital leader's push for more protection for healthcare providers against frivolous fraud lawsuits in the U.S. as of May 2016. Topics discussed include the proposal that whistle-blowers should bring allegations directly to providers before filing lawsuits, and the opposing view that the move would only weaken the False Claims Act. Also noted is the Act's allowance for providers to reduce liability by self-reporting fraud within 30 days of its discovery.

The article talks about the U.S. Supreme Court and its hearing of arguments for the Universal Health Services v. United States ex. rel. Escobar case, which involves the validity of a legal theory and its applicability under the False Claims Act. Topics include the theory of implied certification, its application for whistle-blowers alleging false claims by providers, and the opposition against allowing implied certification by U.S. hospital organizations like the American Hospital Association.

The article reports on the hearing scheduled in Chicago, Illinois April 2016 over the U.S. Federal Trade Commission's (FTC) request to pause a merger between Advocate Health Care and NorthShore University HealthSystem. Topics covered include the allegation that the deal would create a system that controls general acute-care inpatient hospital services, the arguments presented by the systems in response to the allegation and the stance of antitrust expert Jeff Miles on the case.

The article discusses the ruling of the U.S. Court of Appeals for the 7th Circuit that Advocate Health Care's pension plan cannot be considered a church plan just because the health systems is religiously affiliated. Topics covered include the decision that the plan is subject to the federal Employee Retirement Income Security Act (ERISA) and criticisms on the exemption of church plans from ERISA.

The article discusses issues concerning disputes between hospitals and construction companies in the U.S. Topics covered include the case of Santa Clara County, California and Turner Construction Co., suggested prevention of disputes with the use of integrated project delivery models, and the opinion of Carl Nelson, a managing partner with architecture and interior design firm Orcutt/Winslow.

The article reports that the U.S. Supreme Court is set to hear arguments on whether the test for willful infringement at the U.S. Court of Appeals for the Federal Circuit is appropriate.

The article features Rosemary Collyer, U.S. District Court judge for the District of Columbia, as one of 10 people to watch for in U.S. healthcare in 2016. It claims that the healthcare industry is awaiting Judge Collyer's ruling in the U.S. House of Representatives v. Burwell case. Experts see the case as the most significant legal challenge to the health reform law since the Supreme Court upheld the law's premium subsidies in King v. Burwell in 2015.

The article provides an outlook for the healthcare legal industry in the U.S. in 2016. Topics covered include the anticipated high court decision on the case of Gobeille v. Liberty Mutual Insurance Co., the expected issuance of rulings on major cases of abortion and contraceptive coverage and the challenges brought by religious groups that oppose having any part in providing birth control to employees.

The article looks at the U.S. Supreme Court's rulings in favor of the Affordable Care Act (ACA) in 2015. Topics covered include the court's decision to upheld the legality of the law's insurance premium subsidies in the case King v. Burwell, its ruling in Armstrong v. Exceptional Child Center Inc. that providers cannot sue state Medicaid agencies over low payment rates, and its decision in the case North Carolina Board of Dental Examiners v. Federal Trade Commission regarding antitrust law.

The article reports on the move by the Federal Trade Commission (FTC) in the U.S. to block a proposed merger between Illinois systems Advocate Health Care and NorthShore University HealthSystem. Topics covered include the Bureau of Competition director Debbie Feinstein's statement that the deal will harm customers by bringing about higher prices and lower quality, NorthShore chief executive (CEO) Mark Neaman's statement that the systems will appeal, and federal judges siding with the FTC.

The article reports that life sciences company Sequenom is considering appealing a lower court decision that invalidates its patent for an invention that tests a mother's blood for genetic traits in her fetus.

This article discusses the Bipartisan Budget Act of 2015 and its impact on U.S. healthcare providers accused of fraud and certain regulatory violations. Topics covered include the budget deal's provision requiring civil monetary penalties be raised to account for inflation by August 2016, the effort of the American Health Care Association to investigate its options in fighting the higher penalties, and the comment by legal expert Jennifer Weaver on the actual impact of the change on providers.

The article reports the decision of the U.S. Supreme Court to address the litigation on the contraception coverage requirement of the Affordable Care Act. Topics covered include the opposition of religious nonprofit organizations against the U.S. health reform, the violation of religious beliefs resulting from providing contraception and fertility control, and the initiatives of the U.S. appellate courts in the issue.

The article reports on the campaign of the American Civil Liberties Union (ACLU) against Catholic hospitals that deny healthcare services for some people due to the hospitals' religious policies. Topics covered include the limitation of the health law in the U.S., implementation of the Ethical and Religious Directives for Catholic Health Care Services, and the allegations of the ACLU in relation to the medical practice. Also mentioned are the legal implications of the ACLU's actions.

The article examines the approval of the acquisition of Care1st Heath Plan by Blue Shield of California for 1.2 billion dollars in California. Blue Shield has agreed to support consumer-assistance programs, improve quality-of-care performance and put 200 million dollars for healthcare transparency and accessibility. Consumer group Health Access California urges the California Department of Managed Health Care to monitor Blue Shield's commitment, especially on losing its state taxexempt status.

The article discusses several U.S. Supreme Court cases involving important healthcare issues. It includes the case Gobeille v. Liberty Mutual Insurance Co., which have possible ramifications for self-funded insurers and state eyeing health care reform. It also mentioned the case Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, which deals with issues that could affect insurers.

The article reports that a lawsuit filed by the House of Representatives against the Affordable Care Act (ACA) of the administration of U.S. President Barack Obama is likely to proceed despite the sudden resignation of House Speaker John Boehner. The case House vs. Burwell accuses the administration of spending money on the cost-sharing provisions of the ACA without congressional appropriation. Representative Kevin McCarthy, who is widely thought to succeed Boehner, has supported the suit.

The article focuses on the allegations put against the Health Diagnostic Laboratory, for under paying its doctors, and states that Health Diagnostic Laboratory had to pay 50 million U.S. dollars to the U.S. government. It offers views of Deputy Attorney General Sally Quillian Yates on Health Diagnostic Laboratories Chief Executive Officer (CEO) Latonya Mallory, being accused of violating the U.S. False Claims Act.

The article focuses on the U.S. policy made by the U.S. President Barack Obama's administration, to ensure that not-for-profit religious organizations' workers would get free of cost birth control. It mentions the stays granted by the U.S. Supreme Court, in several contraception coverage cases, and discusses female contraception being considered a preventive healthcare service, under the U.S. Affordable Care Act (ACA).

The article discusses the threat from the decision of the U.S. District Judge Rosemary Collyer in Washington, D.C. that the U.S. House Republicans can sue the administration of the U.S. President Barack Obama over allegations that it is illegally spending money not appropriated by the Congress for the cost-sharing provisions of the U.S. Affordable Care Act (ACA). It says that experts have mixed opinions on the possible consequences of the legal challenge.

The article offers information on professional achievement of U.S. Supreme Court Chief Justice John Roberts, who has been selected in the "100 Most Influential People in Healthcare" rankings published by the periodical, as of August 2015. Topics include role of Roberts in the Affordable Care Act (ACA); judgment made by Roberts in the case National Federation of Independent Business v. Sebelius, of 2012, related to ACA; and views of people like law teacher Nicholas Bagley on Roberts.

The article reports that U.S. District Judge Rosemary Collyer is scheduled to issue a decision on the U.S. House of Representatives versus Burwell case.

The article discusses the U.S. Supreme Court's decision in King v. Burwell which was related to premium tax credits, ends the legal challenges to the Affordable Care Act (ACA) in the U.S. It offers the views of Justice John Roberts on the aim of the ACA to improve health insurance of Americans. It also discusses the views of Wisconsins' governor Scott Walker against the ruling and focuses on his political party effort to repeal and replace the law.

The article reports that the U.S. Department of Health and Human Services (HHS) has proposed an anti-kickback statute against physicians involved in improper payments. Topics discussed include fraud alerts by Office of Inspector General (OIG) of HHS to warn doctors to avoid violation of the statue, hiring of lawyers by OIG to take administration actions against doctors involved in such payments and interest of OIG to check liability of doctors in the conduct.

The article focuses on arguments related to cost-sharing subsidies passed by the Affordable Care Act. Topics discussed include arguments on illegal spending of money on cost-sharing provisions, argument by Kermit Roosevelt, law expert at University of Pennsylvania, on the money spent by the administration which was not appropriated by the U.S. Congress and decision to be taken by the U.S. District Judge Rosemary Collyer on the lawsuit.

The article focuses on predictions related to supposed delay in establishment of insurances exchanges by U.S. states for healthcare coverage of their residents with reference to findings of a survey conducted by the periodical as of June 2015. It mentions role of an upcoming ruling of the U.S. Court in connection with premium subsidies in states, citing alleged lack preparation of most of the states regarding elimination of Affordable Care Act.

The article reports that drugmaker Teva Pharmaceuticals is to pay 1.2 billion dollars to settle allegations by the U.S. Federal Trade Commission that the biopharmaceutical firm Cephalon, that was purchased by Teva, stalled generic versions of sleep-disorder drug Provigil from entering the market.

The article discusses ruling of the US high court in the case Kellogg, Brown & Root Services Inc. v. United States ex. rel. Carter. Topics discussed include whistleblower suit filed against KBR for fraudulent billing practices under the Federal False Claims Act by Carter, views of Larry Freedman, an attorney with law firm Mintz Levin, and extension the statute of limitation of certain claims during times of war under the Wartime Enforcement of Fraud Act.

The article reports that the administration of the U.S. president Barack Obama will block another lawsuit filed by the U.S. House Republicans that could disrupt the U.S. Affordable Care Act, arguing that the plaintiffs lack standing to sue. Topics include the suit challenging Obama's decision to delay penalties on certain employers who have not provided coverage for their workers, the plaintiffs claim that U.S. Treasury money was illegaly being used to finance cost-sharing subsidies.

The article reports that the U.S. Justice Department has launched a criminal investigation into allegations that Tenet Healthcare Corp. hospitals paid kickbacks for maternity referrals. Topics include the civil division of the department sharing all new whistleblower complaints with its criminal division allowing parallel investigations, a former Tenet employee being criminally charged in the matter, and views of Sheryl Skoinick from Mizuho Securities USA on the same.

The article reports that the 450 million settlement in the False Claims Act case involving provider of dialysis services DaVita Kidney Care in 2015 shows healthcare whistle-blowers success in choosing to carry on alone when the U.S. federal government declines to join them. Topics include the case filed by whistle-blowers Alon Vainer and Daniel Barbir, their allegation that DaVita dialysis clinics routinely overbilled Medicare and Medicaid, government decision to not get involved in the case.

The article reports on plans of the Florida Governor Rick Scott to file lawsuit against the U.S. Centers for Medicare & Medicaid Services (CMS) for forcing the state to expand Medicaid by ending funds that helps in payment for uncompensated care for low -income and uninsured patients.

The article focuses on a raised tension between hospital groups such as American Hospital Association and the Federation of American Hospitals, and federal regulators such as the Federal Trade Commission in the U.S. during a two-day workshop "Examining Health Care Competition" in Washington from February 24-25, 2015. A letter by hospital groups mentioned that workshop's lack objectivity and balance of the opportunity to better understand the hospital field.

The article offers information on the case King v. Burwell filed in the U.S. Supreme Court, which challenges to premium subsidies of the Patient Protection and Affordable Care Act (ACA). It mentions the views of Lisa McElroy, an associate professor of law at Drexel University, on avoiding the standard issue by petitioners and legal right of the plaintiffs to sue as they are required to buy insurance.

The article focuses on the webinar debate hosted by the nonpartisan National Institute for Health Care Management Foundation between University of Michigan 's law professor Nicholas Bagley and health policy studies director at Cato Institute's Michael Cannon on King v. Burwell supreme court case.

The article discusses the Kellogg, Brown & Root Services v. United States ex. rel. Carter court case dealing with the False Claims Act levied by Kellogg, Brown & Root Services employees on the company for fraudulently billing the government on a war contract.

The article focuses on several court cases concerning the U.S. health care industry. It states that the King v. Burwell court case will be discussed by the U.S. Supreme Court in March 2015 and will focus on the giving federal premium tax credits to the U.S. citizens who have not established their own insurance exchanges. According to Louis Saccoccio, Chief Executive Officer (CEO) of the National Health Care Anti-Fraud Association, fraud allegations involving pharmacies will increase in 2015.

The article focuses on several issues related to the False Claims Act, dealing with frauds done by doctors against their patients. It refers to the lawsuits filed against cardiologist Dr. Asad Qamar, identified as the second-highest-paid doctor in 2012, who has allegedly been performing unnecessary and invasive heart testing and mentions that data on individual physician's pay, released by Centers for Medicare & Medicaid Services (CMS) public database, can curb the frauds done by doctors.

The article looks at the U.S. supreme court case "King v. Burwell," that discusses whether the language of the U.S. Patient Protection and Affordable Care Act allows Americans in states that have not "established" their own insurance exchanges to receive federal premium tax credits. Topics discussed include laws related to the coverage expansion and insurance reforms; and the state laws over authorizing the subsidies of the Affordable Care Act.

The article reports on the involvement of home care in the U.S. Justice Department's healthcare fraud caseload. Topics discussed include views of William Dombi of the National Association for Home Care and Hospice on the issue, a report released by the HHS' Office of the Inspector General which highlighted the questionable billings of home-care agencies, and statement of consultant Marc Smolonsky that mental healthcare, durable equipment, and home care are biggest areas of healthcare fraud.

The article informs that the Justices of the U.S. Supreme Court will consider the case Chevron USA v. Natural Resources Defense Council for taking decision for the King v. Burwell case regarding the subsidies in the Affordable Care Act.

The article offers information on a case between Republicans and Democrats in the fifth U.S. Circuit Court of Appeals in Louisiana regarding the allegation of the Affordable Care Act as a revenue-raising law, which should have started in the House instead of the Senate as of December 2014.

The article discusses U.S.'s Supreme Court call for decision on King versus Burwell case for federal premium subsidies invalidation under the Patient Protection and Affordable Care Act. Topics include Americans losing their tax credits and health insurance coverage, fall in share prices of health care companies, and fall in consumer confidence for the online federal insurance exchange by U.S.'s President Barack Obama's administration starting from November 15, 2014.