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Supreme Court to hear challenge of DSH payment calculations
The Supreme Court has agreed to review a case challenging how the Department of Health and Human Services calculates Disproportionate Share Hospital payments.
In February, the American Hospital Association and five other hospital organizations had urg…
DOJ denied a dismissal of Humana’s lawsuit over MA audits
A federal judge for the Northern District of Texas in Fort Worth has ruled against the Department of Justice’s motion to dismiss a case brought by Humana.
Judge Reed O’Connor also denied the DOJ’s motion to transfer the court venue to Dallas.
This mean…
Supreme Court decision a win for Tribal health finances
The Supreme Court has ruled that the federal Indian Health Service is required to reimburse Tribes for overhead costs for contracted health services from third parties, including private insurers, Medicare and Medicaid.
Supreme Court decision a win for Tribal health finances
The Supreme Court has ruled that the federal Indian Health Service is required to reimburse Tribes for overhead costs for contracted health services from third parties, including private insurers, Medicare and Medicaid.
Former Cigna exec barred from working at CVS
Cigna has won an appeal against CVS and its former Express Scripts president over a noncompete agreement.
The U.S. Court of Appeals for the Eighth Circuit in St. Louis, Missouri on Wednesday upheld a lower court decision barring former Cigna executive …
Johns Hopkins Health Plans announces multi-payer portal
Johns Hopkins Health Plans has launched a new multi-payer portal to connect providers and payers.
Using the real-time platform, provider offices will be able to submit and track electronic claims, claims status, remittance and claims payment informatio…
Court denies FTC’s attempt to stop Novant’s purchase of two CHS hospitals
A federal judge has ruled against the Federal Trade Commission’s efforts to stop Novant Health from buying two Community Health Systems hospitals in North Carolina.
In March, the FTC had sued to block Novant’s $320 million purchase of CHS hospitals, La…
Ascension expects EHR restoration across its network by June 14
Ascension, which was hit by a cyberattack that crippled operations at its 140 hospitals, is working towards completing EHR restoration across its entire system by June 14.
The large health system of 140 hospitals gave an update Wednesday to its restora…
SCAN Health Plan wins Medicare Advantage Star Ratings lawsuit
SCAN Health Plan has won its lawsuit against the Department of Health and Human Services over the way the government calculated Medicare Advantage Star Ratings for 2024.
Fauci called before House subcommittee to testify on COVID-19 origins
Dr. Anthony Fauci, former director of the National Institute of Allergy and Infectious Diseases, was called before a House Select Subcommittee on the Coronavirus Pandemic on Monday to testify about the origins of the COVID-19 pandemic.
Specifically, la…
