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19 Dec 2023, 4:48 pm by Cynthia Marcotte Stamer
$115 is the fee that health plans participating in the Independent Dispute Resolution (“IDR”) process required by the No Surprises Act (the “NSA”) to resolve disputes with health care providers, facilities, and providers of air ambulance services (“providers”) over the amount the health plan will pay the provider for out-of-network health care or items for because the health plan and provider cannot reach… [read post]
15 Dec 2015, 11:31 am
Earlier this month the United States Supreme Court agreed to hear Universal Health Services, Inc. v. [read post]
4 Feb 2023, 3:20 am by Cynthia Marcotte Stamer
Phoenix-based nonprofit health system Banner Health and its affiliates (“Banner Health”) paid $1.25 million and agreed to take corrective actions to resolve its exposure to potentially much greater Health Insurance Portability and Accountability Act (HIPAA) Security Rule civil monetary penalty exposure for a 2016 cyber hacking breach that compromised the person health information of 2.81 million consumers. [read post]
24 Feb 2017, 8:23 pm by Kate Howard
Extendicare Health Facilities, Inc. 16-825 Issues: (1) Whether the Federal Arbitration Act or the “federal policy favoring arbitration” requires courts to discriminate in favor of arbitration agreements; (2) whether the FAA requires courts to preempt neutral state laws that merely have a disproportionate impact on the enforcement of arbitration agreements; and (3) whether, if the answer to either question above is “yes,” that violates basic… [read post]
23 Apr 2009, 2:58 am
  According to the lawsuit, UPMC Health Benefits Inc. violated the Uniformed Services Employment and Re-Employment Rights Act when it terminated Thomas Smith after he returned to work following rotator cuff surgery. [read post]
19 May 2014, 7:05 pm by Maureen Johnston
Mercy Health System of Kansas, Inc. 13-1118 Issue: Whether Section 704(a) of Title VII of the Civil Rights Act of 1964 prohibits retaliation against a worker because of the worker’s statements: (1) only when the statements are made to the worker’s own employer or to federal or state anti-discrimination agencies (the rule in the Tenth and Fourth Circuits), or (2) also when the worker’s statements are made to any other person (the rule in the First,… [read post]
28 Sep 2011, 9:08 pm by Frank Pasquale
Political plans to defund critical aspects of US health finance are likely a bigger threat to the success of the ACA than the Supreme Court. [read post]
2 Dec 2019, 5:20 pm by Jon L. Gelman
”Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. [read post]
24 Mar 2009, 7:23 am
Health Line Clinical Laboratories Inc., Westcliff Medical Laboratories Inc., Physicians Immunodiagnostic Laboratory Inc., Whitefield Medical Laboratory Inc., and Seacliffs Diagnostics Medical Group round out the defendants. [read post]
21 Sep 2015, 8:00 am by Gregory J. Brod
See Related Blog Posts: The False Claims Act and the Role of Whistleblowers in Stopping Health Care Fraud The False Claims Act: From Shoddy Civil War Uniforms to Costly Defense Contracts in 2014 (image by Bruce Bortin)   The post The Many Uses of the False Claims Act: Beyond Medicare Fraud and Military Contracts appeared first on San Francisco Injury Lawyer Blog. [read post]
13 Sep 2017, 8:04 pm by Ben Vernia
On September 13, the Department of Justice announced that New York city-based MediSys Health Network, Inc., has agreed to settle a whistleblower’s suit alleging Stark Law violations for $4 million. [read post]
16 Oct 2018, 3:55 pm by Cynthia Marcotte Stamer
Health plans, their employer and other sponsors and fiduciaries, health insurers, health care providers, health care clearinghouses and their business associates should study and learn from the just announced, record-setting $16 million resolution agreement between health insurance giant, Anthem, Inc., to resolve Department of Health & Human Services Office of Civil Rights (OCR) charges that Anthem, Inc. [read post]