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SSM Health church plan challenge heads toward settlement

SSM Health church plan challenge heads toward settlement

By Hazel Bradford  |  October 31, 2018

SSM Health reached a settlement with pension plan participants legally challenging the non-for-profit corporation's church plan status, according to court documents filed Monday in U.S. District Court in St. Louis.

Pre-existing conditions drive state attorney general campaigns

Pre-existing conditions drive state attorney general campaigns

By Susannah Luthi  |  October 26, 2018

Democratic candidates in state attorney general races have leveraged their party's national campaign strategy around coverage of pre-existing conditions. They're trying to beat Republican incumbents who are suing to end Obamacare.

Judge urges insurers to drop short-term plan rule challenge

Judge urges insurers to drop short-term plan rule challenge

By Susannah Luthi  |  October 26, 2018

Opponents of the new short-term limited duration rule were dealt a setback in a federal court Friday as a U.S. district judge urged insurers suing the Trump administration to wait for proof it is harming the ACA markets.

Recovering addicts sue rehab boss for unpaid labor

Recovering addicts sue rehab boss for unpaid labor

By Associated Press  |  October 08, 2018

A federal lawsuit contends the operators of a North Carolina drug rehab program farmed out recovering addicts to work in adult care homes and restaurants and pocketed the wages for the labor they performed.

More Medicare Advantage upcoding could follow court ruling

More Medicare Advantage upcoding could follow court ruling

By Shelby Livingston  |  September 12, 2018

A federal judge's recent decision to vacate the 2014 Medicare Advantage overpayment rule paves the way for insurers to continue upcoding to reap higher CMS payments that could cost billions of dollars, experts said.

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