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Hospital execs sweat the details of healthcare reform

Hospital executives are sweating healthcare reform details as the deadlines for passing the massive legislative effort get closer. Arguably, hospital executives have perhaps the most to lose among... Read more...

Quest will pay $302M in whistleblower settlement

Testing firm Quest Diagnostics has agreed to pay the federal government $302 million to resolve civil and criminal charges involving a subsidiary closing in 2006, as well as certain diagnostic test... Read more...

SPOTLIGHT: CT-based BCBS enrollees may lose hospital coverage

Middletown, CT-based Middlesex Hospital will not accept insurance from Anthem Blue Cross Blue Shield members as of May 1 unless a new agreement is reached. In recent days, negotiations over terms and... Read more...

MD insurance commissioner seeks CareFirst audit

For some time now, critics in Maryland and Washington, D.C. have argued that local health plan CareFirst BlueCross BlueShield was maintaining too large a reserve to fit its non-profit mission. Now,... Read more...

After Medicaid reimbursement allegations, LA hospital agrees to $3.3M settlement

After allegedly collecting Medicaid reimbursement as a Level 1 pediatric-intensive care provider, despite not qualifying for such a status, Marrero, LA's West Jefferson Medical Center will now pay... Read more...

Health Net charged $41M for underpaying out-of-network claims

Health plan Health Net has paid out $41 million to the New Jersey state Department of Banking and Insurance to settle charges that it underpaid out-of-network claims for 88,000 customers in the... Read more...

Cancer care not affected by Medicare cuts

When the Medicare Modernization Act of 2003 cut payments to oncologists for delivering chemotherapy drugs to patients, some observers were worried that it would upend the industry. Policymakers... Read more...