The federal No Surprises Act (NSA) generally protects patients from receiving large unanticipated bills for out-of-network care. To implement the NSA, transparency rules have been issued that require self-insured and insured health plans to include deductibles and out-of-pocket maximums on ...Read More »
The Department of Justice recently invoked the federal Travel Act to bring bribery charges against owners and managers of the now-defunct, physician-owned Texas Forest Park Medical Center (FPMC). Almost all federal health care fraud prosecutions involve Medicare, Medicaid or other ...Read More »
While not required to practice medicine, voluntary board certification in a specialty has progressively become expected, with patients, employers, hospitals and insurers looking to the board certification to determine the perceived competency of the doctor. Doctors that do not obtain, ...Read More »
Florida's cap on noneconomic damages in medical malpractices casess remained valid and unchallenged until recently, when an injured patient successfully overturned it, a decision with ramifications likely to reverberate far outside of the state.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 »