Health Care Overhaul: When and How It Will Affect You

On March 23rd, President Barack Obama signed into law the nation's most sweeping social legislation in decades. After over a year of gruelling debate in Congress, American consumers can now try and figure out how they will be affected by the Patient Protection and Affordable Care Act ("the...

Foley & Lardner LLP: OIG 2012 Work Plan

By Nathaniel M. Lacktman , Lawrence C.Conn , Maria E. Gonzalez Knavel, M. Leeann Habte , Wiline Justilien , Richard K. Rifenbark, Anil Shankar, Heidi A. Sorensen , Lawrence W. Vernaglia , Judith A. Waltz , Adria Warren and Torrey K. Young At the beginning of each new fiscal year, the Office of Inspector...

Oast & Hook: Smart Shopper: Be a Wise Consumer of Health Care Services

By Kimberly Johnke, LSW We live in an increasingly consumer-directed society. The world is brimming with shiny new products and time-saving services. As consumers, we pride ourselves on being "smart shoppers." We diligently clip coupons, price shop, and navigate sales. We insist on receiving...

Washington Federal Judge Declines To Grant Injunction In Medicaid Contract Case

TACOMA, Wash. - A Washington federal judge on April 25 denied a motion for preliminary injunction in a case in which Medicaid managed care organization (MCO) providers are seeking to stop the state's Medicaid administrator from entering into contracts ...read more

Supreme Court Finds Individual Mandate In Health Care Act Constitutional

WASHINGTON, D.C. - (Mealey's) In a sweeping opinion covering four issues addressed over three days of oral argument, the U.S. Supreme Court today found that the Anti-Injunction Act (AIA) does not bar challenges to the Patient Protection and Affordable Care Act (PPACA), that the individual mandate...

Federal Judge Issues Contempt Order For Failure To Process Medicaid Transfers

LEXINGTON, Ky. - A Kentucky federal judge on July 16 held the Kentucky Cabinet for Health and Family Services in contempt for failing to properly process requests by patients to transfer from one managed care organization (MCO) to another in light of ...read more

Mealey's Managed Care Liability Bulletin: Colorado Federal Judge Grants Preliminary Injunction in Contraception Mandate Case

DENVER - A Colorado federal judge on Friday granted a preliminary injunction in favor of a for-profit secular employer that will prevent the federal government from enforcing a mandate contained in the Patient Protection and Affordable Care Act (PPACA ...read more

State Net Capitol Journal: Snyder Says MI Will Appeal Retiree Health Ruling

Michigan Gov. Rick Snyder (R) said his administration intends to appeal a Michigan Court of Appeals ruling [ AFT Mich. v. State , 2012 Mich. App. LEXIS 1632 (Mich. Ct. App. Aug. 16, 2012) [ enhanced version available to lexis.com subscribers ]] that declared unconstitutional a 2010 law requiring school...

Massachusetts High Court Affirms Medicaid Reimbursement Obligations Not Violated

BOSTON - The Massachusetts Supreme Judicial Court on Sept. 14 affirmed that the secretary of the Executive Office of Health and Human Services did not violate her obligation to reimburse hospitals and a managed care organization for the reasonable costs ...read more

Mealey's Managed Care Bulletin: U.S. Supreme Court Orders Reconsideration of Health Care Act Challenge

WASHINGTON, D.C. - The U.S. Supreme Court today revived a Christian university's challenge to the Patient Protection and Affordable Care Act (PPACA), 111 P.L. 148, when it ordered the Fourth Circuit U.S. Court of Appeals to review the case in light ...read more

Mealey's Emerging Drug & Device Bulletin: Levaquin Compensatory Verdict Affirmed, Punitive Verdict Reversed

ST. LOUIS - The Eighth Circuit U.S. Court of Appeals on Nov. 30 unanimously affirmed denial of judgment as a matter of law or new trial for compensatory damages in the first Levaquin multidistrict litigation bellwether trial but in a 2-1 split said the ...read more

Bradley J. Frigon on the Applicability of Medicare Secondary Payment Subrogation Rights to Medicare Part C and Part D Private Carriers

By Bradley J. Frigon Following several cases that challenged federal regulations, CMS published a memorandum to all Medicare Advantage Organizations and Prescription Drug Plan Sponsors regarding Medicare Secondary Payment Subrogation Rights for Part C and Part D private carriers seeking reimbursement...