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Federal appeals court greenlights CSR lawsuit settlement

Federal appeals court greenlights CSR lawsuit settlement

By Susannah Luthi  |  May 16, 2018

A federal appeals court approved a settlement between the House Republicans and the Trump administration, ending a lawsuit over cost-sharing reduction payments for the Obamacare exchanges.

HHS takes DSH reimbursement fight to Supreme Court

HHS takes DSH reimbursement fight to Supreme Court

By Susannah Luthi  |  May 01, 2018

HHS wants the U.S. Supreme Court to review a ruling that questions whether Medicare Advantage patients should factor into a provider's disproportionate-share hospital payment.

Judge tosses Envision lawsuit against UnitedHealth

Judge tosses Envision lawsuit against UnitedHealth

By Shelby Livingston  |  April 30, 2018

A federal judge dismissed physician staffing firm Envision Healthcare's lawsuit against UnitedHealth Group over a payment dispute, saying it belongs in arbitration.

Hospitals cry foul and sue Anthem over new policies

Hospitals cry foul and sue Anthem over new policies

By Tara Bannow  |  April 21, 2018

A small number of hospitals and health systems are turning to the courts to challenge Anthem's new policies restricting outpatient imaging and emergency department coverage. Attorneys and industry experts disagree on the cases' merits.

Medicaid work requirements violate program's intent, scholars say

Medicaid work requirements violate program's intent, scholars say

By Susannah Luthi  |  April 09, 2018

Public health scholars are joining the fray to block Medicaid work requirements before they take effect in three red expansion states, claiming the coverage rollback undermines the program's mission and will hurt state health systems.

McKesson accused of skimming profit, harming patients

McKesson accused of skimming profit, harming patients

By Alex Kacik  |  April 04, 2018

Omni Healthcare is suing the wholesale drug distributor McKesson on behalf of the federal government and 30 states for allegedly repackaging cancer drugs from single-use vials, leading to fraudulent payments and serious infections.

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