It’s In The Mail: Aetna Agrees To $17M Payout In HIV Privacy Breach
In a low-tech snafu, information about HIV treatment was visible through the cellophane window on envelopes sent to about 12,000 consumers.
Courts
741-760 of 773 results
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When Nursing Homes Push Out Poor And Disabled Patients
Complaints are rising in California and other states about improper evictions and discharges. Advocates say some patients end up in cheap hotels, homeless or back in the hospital.
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Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices
"'Fingers crossed' that I haven’t authorized something the FTC will hunt me down for,” a staffer wrote after destroying the documents. Sutter, a huge Northern California Health system with 24 hospitals, said it destroyed them by mistake.
By Chad Terhune -
Patients, Health Insurers Challenge Iowa’s Privatized Medicaid
Complaints are rising against for-profit insurance companies that manage Medicaid for about 600,000 Iowans. The privatization of Medicaid is a national trend affecting more than half of the 74 million Americans who get their health care through the state-federal program.
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Medi-Cal Sued For Pushing Patients Into Managed Care Despite Judges’ Orders
Advocates say California’s Medicaid program is violating its own rules by overturning decisions that would allow seriously ill patients to stay out of managed care and keep their doctors.
By Emily Bazar -
To Grow Market Share, A Drugmaker Pitches Its Product To Judges
Some drug courts offer participants a full range of evidence-based treatment, including medication-assisted treatment. Others don't allow addiction medications at all. And some permit just one: Vivitrol.
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Despite Insurers’ Tactical Win On ACA’s Cost-Sharing Payments, Uncertainty Lingers
Court allows state attorneys general to join a pending legal challenge to keep billions in subsidies flowing to consumers and insurers, despite the Trump administration’s resistance.
By Jay Hancock -
Repeal & Replace Watch
Obamacare’s History Littered With Near-Death Experiences
The Affordable Care Act has repeatedly faced opposition in Congress and the courts, but it has continued to survive.
By Julie Rovner -
Repeal & Replace Watch
Timeline: Obamacare’s History Littered With Near-Death Experiences
The Affordable Care Act has repeatedly faced opposition in Congress and the courts, but it has continued to survive.
By Julie Rovner -
California Sued For Allegedly Substandard Medi-Cal Care
The lawsuit is a civil rights case on behalf of Latinos, who comprise nearly half of the program’s enrollees. But the advocates who filed it also hope to get class action certification for all Medi-Cal enrollees.
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Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
By Fred Schulte -
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
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 –now president -- secured a $40 million donation for a pet project from the doctor’s relative. He says the two events are unrelated. Critics are demanding an investigation.
By Jenny Gold -
Judge Accepts Medicare’s 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’s 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 “Girls Night Out” 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.