Community Health Funding Report

Legal

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Court Blocks Hospitals from Recouping Financial Losses

A California appeals court overrules a lower court decision and blocks efforts by various California hospitals to recoup financial reimbursement from the Department of Health Care Services following their successful petition to have state Medicaid legislation, which limited Medicaid contracts to certain hospitals, invalidated.

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Court Says Appeal of Medicare Wage Index Can Proceed

  A federal appeals court overturned a lower court and upheld a challenge by the Geisinger Community Medical Center against action by the Department of Health and Human Services in connection with the assignment of a rural wage index designation under the Medicare, Medicaid and State Chil...

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HHS Continues Medicare Anti-Fraud Efforts

The Department of Health and Human Services and Justice Department announce the latest efforts of the Medicare Fraud Strike Force have resulted in charges against 243 individuals, including 46 doctors, nurses and other licensed medical professionals, for alleged participation in Medicare fraud schemes involving approximately $712 million in false billings.

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Abortion Restrictions Seen Fueling HHS Budget Debate

A likely flashpoint during upcoming deliberations over the Department of Health and Human Services (HHS) appropriations bill will be discussions pertaining to restrictions being place on certain types of late-term abortions. The proposed restrictions will probably be based on so-called "pain capable" guidelines.

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Court Upholds Negligence Case Against Hospital

The California Court of Appeals overturns a lower court decision involving a lawsuit based on someone slipping on a wet-mopped floor that was not marked as such

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SCOTUS Limits Challenges to State Actions on Medicaid

The current case involves providers of "habilitation services" under Idaho's Medicaid plan who are reimbursed by the state's Department of Health and Welfare.

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ACA's Future on the Line

There's really just one question to be determined: how to interpret language and congressional intent in the original Affordable Care Act regarding the availability of such subsidies for federal enrollees.

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SCOTUS Relaxes Restrictions on Non-Dentist Dental Services

The Supreme Court upheld the right of non-dentists to offer certain teeth-whitening services. The decision focuses on the ability of a private regulatory body -- in this case, the state's dental board -- to deny non-dentists to offer some services.

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Court Overturns Ban on ACA Contraceptive Provisions

The U.S. Third Circuit overturned a lower court's injunction against the Department of Health and Human Services, based on the Affordable Care Act's requirements regarding coverage of contraception care.

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Denial of Healthcare Providers Merger Upheld

The Ninth Circuit Appeals Court upheld a district court ruling that the merger of two healthcare providers in Nampa, ID, would have the impact of reducing competition in the area, and therefore was prohibited under federal law.

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