Blue Cross Blue Shield of Michigan has reached an eleventh hour confidential deal with Aetna Inc. to end its rival’s $2 billion antitrust suit alleging Blue Cross harmed consumers by signing most-favored-nation contracts with hospitals, according to documents filed in Michigan federal court Friday.
Whistleblowers alleging a medical supply company overbilled Medicaid blasted its efforts to stay discovery in Florida federal court Thursday as the company seeks to have the suit tossed, arguing the disqualification of their last attorney for a conflict of interest is not nearly enough to warrant a dismissal.
A Florida appeals court on Friday affirmed a temporary injunction barring Planned Parenthood of Greater Orlando Inc. from performing abortions at one of its offices on the grounds that doing so would violate a restrictive covenant on the property.
A former executive of a health care-focused marketing company who pled guilty to altering tax files after being accused in New York federal court of taking kickbacks, should be given a light sentence because he fought through child abuse and learning disabilities to become a successful person, he claimed in a sentencing memorandum Thursday.
The Texas Supreme Court on Friday said doctors seeking to bust a privilege that applies to peer review committee documents don’t have to assert antitrust claims, but simply must allege the hospital took anti-competitive actions, in a win for a Houston heart surgeon.
Democrat leaders of the Pennsylvania General Assembly fired off an amicus brief on Friday supporting the state’s bid to force the University of Pittsburgh Medical Center to reverse its decision ending a series of Medicare Advantage contracts between its hospitals and rival insurer Highmark Inc.
The U.S. Department of Justice urged an Illinois federal judge Thursday to apply the same logic she used in refusing to dismiss its False Claims Act case against staffing chain IPC The Hospitalist Co. Inc. to expand its discovery abilities, saying IPC's objections misrepresent the complaint.
An Alabama federal judge on Thursday ruled that probate judges throughout the state must issue marriage licenses to same-sex couples, although she stayed the preliminary injunction while the U.S. Supreme Court considers the issue.
Amerigroup New Jersey Inc. can terminate its contract with a home health care company whose workers were accused of a Medicaid scam, a New Jersey judge ruled Monday, saying the insurer fulfilled its notice requirements and that letting Confident Care Corp. keep the contract would facilitate a “clearly toxic, broken relationship.”
A Texas federal court on Wednesday sentenced an assistant administrator at a Houston hospital to 40 years in prison and ordered him to pay $31 million in restitution for his role in a scheme that fraudulently charged Medicare $116 million for mental health and substance abuse treatments.
The Florida Supreme Court refused to cut a $1.45 million noneconomic damages award to a woman whose doctor performed an unnecessary second surgery for her melanoma, saying Florida's statutory cap on medical malpractice awards cannot be applied retroactively.
CVS Caremark Corp. on Wednesday maintained that the $5 coupons it offered as part of a prescription rewards program don’t violate the Anti-Kickback Statute when given to Medicare and Medicaid enrollees, despite a False Claims Act lawsuit in Illinois federal court filed by a customer arguing otherwise.
The California Supreme Court agreed Wednesday to hear a dispute over whether an Industrial Welfare Commission order allowing health care workers to waive a meal period on long shifts conflicts with laws forbidding the practice, in a wage suit against an Orange County hospital.
The dismissal of a former assisted living company executive’s challenge to the U.S. Securities and Exchange Commission’s in-house court should be upheld, the Seventh Circuit was told Wednesday, because a pair of U.S. Supreme Court decisions bar district courts from interfering with an administrative law process.
The Eleventh Circuit on Wednesday denied former Alabama Democratic Gov. Don Siegelman a new bribery trial, finding that a lower court rightly found no continuing conflict of interest from a prosecutor after she recused herself from the case, in which Siegelman was convicted in 2006 of soliciting a $500,000 bribe.
The D.C. Circuit on Wednesday refused to revive two suits by Catholic organizations claiming that an Affordable Care Act accommodation created for employers with religious objections to its contraception mandate was overly burdensome, although dissenting judges vehemently disagreed.
A D.C. federal judge on Wednesday swatted down a challenge to Medicare’s use of private contractors to set regional payment policies, finding that a beneficiary hadn’t suffered an injury allowing her to sue and that a California lab group improperly raced to the courthouse.
A hospice operator sought $2.8 million in a prejudgment award against home health provider Amedisys Inc. and an affiliate in Connecticut federal court Tuesday, saying it will likely succeed on accusations Amedisys lied about illegal Medicare overbilling in a hospice sale.
A New Jersey federal judge on Tuesday dismissed a doctor’s claims that state attorney general illegally outsourced criminal investigations to Allstate New Jersey Insurance Co., but denied the state’s request to impose sanctions on him.
A judge disregarded principles of due process when he slapped a Philadelphia-area defense attorney with an unprecedented fine nearing $1 million for violations of a pre-trial order by an expert witness in a medical malpractice case, a state appeals court was told on Tuesday.
The Supreme Court of Texas' ruling in Ross v. St. Luke’s Episcopal Hospital leaves unanswered questions surrounding the nonexclusive, seven-factor test analyzing the relationship between health care liability claims and the provision of care, and does not create a “bright red line” clearly defining state tort law, says David Walsh IV of Chamblee Ryan Kershaw & Anderson PC.
At the heart of the Federal Trade Commission and New York State Department of Health's disagreement over the state's Medicaid program is the mounting tension between health care reform — which focuses on transformative health care models that seek to curb costs and improve care through coordinated and integrated systems — and antitrust law, say attorneys at Mintz Levin Cohn Ferris Glovsky and Popeo PC.
Public interest demands that when physicians leave a medical practice and are subject to an anti-solicitation clause patients remain informed of their physician’s new location and contact information. Irrespective of the financial interest of the physicians involved, the patient’s right to be cared for by the physician of his or her choice and continuity of care demand nothing less, says Joseph Gorrell of Brach Eichler LLC.
An overall lack of understanding continues to restrict growth in the structured settlement arena. With expanded awareness among attorneys, judges, mediators and legislators, more physical injury and wrongful death claimants might experience the many benefits structured settlements have to offer, says Joseph Barnet, vice president and head of Prudential Structured Settlements.
The central issue on appeal before the New York Court of Appeals in Davis v. South Nassau Communities Hospital is whether the state’s highest court is willing to significantly expand the scope of individuals to whom providers owe a duty, and specifically whether the administration of narcotics and subsequent discharge of a patient creates a special relationship between providers and the public, say Laurie Cohen and Jena Rotheim of ... (continued)
While parties that lobby in the United States are generally subject to mandatory lobbyist registration and reporting obligations at every level of government, parties that lobby European Union institutions traditionally have only been subject to a “voluntary” registration and disclosure regime. That gap now appears to be closing, say attorneys with Allen & Overy LLP.
The nebulous zone of insolvency for nonprofits demands the exercise of proper corporate governance, but for whose benefit? Lemington III is a warning that the insolvency zone can span years during which directors’ actions will be scrutinized. Sweet Briar College, on the other hand, is a demonstration of the difficulties directors face when they perceive the rapid approach of financial calamity and act as they see fit, say attorneys... (continued)
The pharmaceutical industry will find Alabama's recent law overturning the state supreme court's ruling in Wyeth Inc. v. Weeks on innovator liability helpful in reducing liability exposure where the innovator drug company had no role in manufacturing the drug that caused the underlying injury, say attorneys of Morrison & Foerster LLP.
There has been a rapid and robust growth in the number of companies offering electronically stored information collection, management and processing services. But a recent survey indicated that not all service providers offer the level of expertise needed in today’s world of big data, the cloud and mobile devices, says Barry O’Melia, chief operations officer at Digital WarRoom.
A growing body of case law in the Third Circuit on Article III standing over data breach litigation offers a simple lesson: Companies that find themselves as defendants in data breach class actions should determine whether plaintiffs have alleged any injuries in fact and, if not, move to dismiss the litigation at the outset, say Nicholas Ranjan and Syed Ali of K&L Gates LLP.