First of two parts There has been a rise in audit activity aimed at health care providers, due in no small part to auditors’ access to big data, which allows auditors to analyze more data in less time. It is ...Read More »
Another Maryland legislative session is in the books, and many recently enacted laws will affect both Maryland health care providers and Maryland health insurers. Here is a summary of some legislative highlights of the 2017 session. The opioid epidemic Tackling ...
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Health care organizations that qualify for tax-exempt status under Internal Revenue Code Section 501(c)(3) are able to issue tax-exempt bonds, known as “qualified 501(c)(3) bonds.” The ability to issue qualified 501(c)(3) bonds allows a health care organization to realize ...Read More »
Doctors have continued to file lawsuits challenging the adverse decisions of insurers. In the cases discussed below, the doctors had mixed success in pursuing two different, novel theories of alleged wrongdoing. Rojas In Rojas v. Cigna, Cigna determined that a ...Read More »
This year was another relatively quiet General Assembly session in regard to new health care legislation. Nevertheless, the following is a listing of the more significant new Maryland health insurance and health care laws that were enacted in 2014.Read More »
In two recent decisions, Williams v. Peninsula Regional and Crise v. Maryland General, separate panels of Maryland’s intermediate appellate court reached opposite conclusions, within three months of each other, in regard to a hospital’s potential liability for failing to admit an allegedly mentally ill patient who then suffers injury.Read More »
The U.S. District Court for the District of Columbia recently held in UPMC Braddock v. Harris that three hospitals affiliated with the University of Pittsburgh Medical Center were federal subcontractors because they contracted with an HMO that covered federal employees.Read More »