Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
Courts
741-760 of 763 results
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Repeal & Replace Watch
Death By 1,000 Cuts: How Republicans Can Still Alter Your Coverage
There are many ways beyond legislative repeal for the Trump administration and congressional Republicans to unravel the Affordable Care Act.
By Jay Hancock -
The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs 聽
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.
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Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
By Fred Schulte -
California Medical Board President Faces Questions Over Vote In Sexual Misconduct Case
After the medical board reinstated the license of doctor who molested patients, one member 鈥搉ow president -- secured a $40 million donation for a pet project from the doctor鈥檚 relative. He says the two events are unrelated. Critics are demanding an investigation.
By Jenny Gold -
Judge Accepts Medicare鈥檚 Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
By Susan Jaffe -
Medicare鈥檚 Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
By Susan Jaffe -
Los Angeles Doctor Sues Molina Healthcare Over Medi-Cal Reimbursements
A high-profile whistleblower attorney representing the physician is seeking class action status.
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Alleged Scheme To Fix Generic Drug Prices Started At Dinners And ‘Girls Nights Out’
Investigators claim drugmaker employees met in secret at restaurants, golf outings and at 鈥淕irls Night Out鈥 to raise generic drug prices.
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Big Hospital Network Cracks Down On The Right To Sue
Some networks of hospitals, doctors and medical services are now so dominant in their region that they can hike their prices and force patients to waive the right to sue when things go wrong.
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University Of California OKs $8.5 Million Payout In Spine Surgery Cases
Two Los Angeles area patients alleged a prominent UCLA spine surgeon harmed them by using Medtronic devices in experimental ways without their consent and failing to disclose his financial ties to the company. Both UCLA and Medtronic deny wrongdoing.
By Chad Terhune -
Court Decision Leaves Undocumented Immigrants’ Health Care Options In Limbo
Deportation-relief programs would have meant access to subsidized health care.
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Anti-Abortion Forces Regroup In Wake Of Supreme Court Decision
The setback prompts some to change direction, others to stay the course.
By Julie Rovner -
5 Things To Know About The Supreme Court鈥檚 Texas Abortion Decision
It was a big win for pro-abortion rights advocates, but abortion opponents are not daunted. Stay tuned for how it will affect presidential politics and the next generation of women voters.
By Julie Rovner -
Anthem, Express Scripts Face Legal Challenge Over Prescription Drug Prices
The case alleges that insured consumers were overcharged because of a contract agreement.
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Supreme Court Strikes Down Key Restrictions In Texas Anti-Abortion Law
The 5-to-3 decision could impact similar laws in about two dozen other states.
By Julie Rovner -
High Court Ruling May Hinder Plans鈥 Efforts To Recoup Consumers鈥 Legal Awards
When consumers who have been injured sue and win an award, insurance plans routinely demand that they be reimbursed for medical costs that they covered. The Supreme Court this term threw a small chink into that strategy.
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Major Employers Decry Sutter Health’s Tactics In Dispute Over Prices
Sutter Health, with dominant market share in Northern California, is insisting that employers sign arbitration agreements or face sharply higher out-of-network rates.
By Chad Terhune -
Supreme Court Asks For More Information In Birth Control Case
The request also hints at a potential compromise from the justices.
By Julie Rovner -
Supreme Court Takes Up Birth Control Access 鈥 Again
Justices consider a key aspect of the Affordable Care Act for the fourth time in five years.
By Julie Rovner