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OH may make health plans to disclose fees

A new Ohio measure may give providers some relief on an issue that concerns them intimately-the amount they're actually going to be paid by a health plan. The bill, which pertains to physicians,... Read more...

DC investigates CareFirst provider contracts

The D.C. attorney general's office has begun investigating whether metro DC-area health plan CareFirst has structured its contracts with providers to give it an unfair advantage over competitors. The... Read more...

SPOTLIGHT: Chicago-area county mulls turnover of public health system

Right now, the Cook County Board is struggling to manage its $810 million system of clinics and hospitals. Some critics say the solution is to let an outside party run the system, which is currently... Read more...

FTC approves IPA model

When the Federal Trade Commission gave its blessing to the Greater Rochester (NY) Independent Practice Association (GRIPA) last month, it was only the second time a clinically-integrated IPA had... Read more...

Some striking Sutter nurses face lockout

Over the past two days, thousands of nurses at hospitals affiliated with Sutter Health staged a two-day walkout. While the majority of nurses plan to return to their jobs today, nurses at three of... Read more...

Smith & Nephew settles kickback charges

Orthopedic device maker Smith & Nephew has become the latest of a group of orthopedic device makers to settle kickback charges. The company agreed to pay $29 million to the U.S. Attorney for the... Read more...

Stark rule revision released

It's another chapter in the continuing drama which is the evolution of Stark law provisions. This week, the key player is CMS, which has posted a final rule to its Web site which interprets Stark law... Read more...

Arizona health system wins 'unreasonable' charges suit

An Arizona health system has won an appeal of a case that claimed it imposed "unreasonable" charges for care. The patients' health plan, a CDHP known as Medical Savings Insurance Co., sued Banner... Read more...

Execs indicted on $79M bid-rigging charges

A group of six men have been indicted on federal charges that they rigged bids for a $79 million IT project. The group, which includes contractors, a military officer, the officer's son and a prominent healthcare consultant, is accused of steering IT contracts for roughly 20 Army hospitals to companies with which they were affiliated or companies they controlled. In some cases, the contracts were designed such that only a specific company could get them, and in others, the bidding process …

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FL cancels Professional Group Homes contract

Professional Group Homes, which operates 10 homes in Florida for the mentally disabled, has lost its contracts with the state's Agency for Persons with Disabilities. The Agency is shutting down the homes in response to four patient deaths within the last eight months, unclean living conditions, overworked employees and poor record-keeping. It is not clear whether Professional Group Homes provided poor care leading to the four resident's deaths, but the loss of the state's contract comes …

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