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Litigation
UPDATE: After four days of deliberation, the jury delivered guilty verdicts yesterday in the case of U.S. v. Blaszczak et al., in which the government alleged that a former CMS employee and a Washington D.C. health consultant funneled trading tips to two NYC hedge fund pros based on insider knowledge of policy. (Law360.com)
Eight acute care hospitals (St. Joseph’s Hospital of Savannah, GA; Candler Hospital of Savannah, GA; Banner Ironwood Medical Center of Queen Creek, AZ; Banner Casa Grande Medical Center of Casa Grande, AZ; Regina Hospital of Hastings, MN; Boulder Community Health of Boulder, CO; Weirton Medical Center of Weirton, WV; and West Virginia University Hospital of Morgantown, WV) initiated litigation in the United States District Court for the District of Columbia on May 1, 2018 regarding the District Court’s previous ruling of August 19, 2016 concerning the Self-Disallowance regulation and its conflict with the Medicare statute.
21 acute care hospitals initiated litigation in the United States District Court for the District of Columbia on May 1, seeking judicial review of the final administrative decision of the Provider Reimbursement Review Board that it does not have jurisdiction to review the Hospital Plaintiff’s claims as to the amount of their Medicare outlier payments due for providing services under the Medicare program during the Hospital Plaintiff’s respective fiscal years ending in 2013, 2014, and 2015.
On April 27, the Steamfitters Local 449 Pension Plan initiated a Securities Class Action in the United States District Court for the Central District of California against Molina Healthcare et al., alleging Molina misled investors regarding its scalability of its existing administrative infrastructure so as to support rapid growth into existing Medicaid markets and new Patient Protection and Affordable Care Act health insurance marketplaces.
On May 2, Planned Parenthood of Wisconsin, Planned Parenthood Association of Utah, and Planned Parenthood of Ohio, initiated an action against the U.S. Department of Health and Human Services in the United States District Court for the District of Columbia, alleging that proposed changes to Title X of the Public Health Service Act regarding the provision of comprehensive family planning services to low-income patients, violate the Administrative Procedure Act and other statutory provisions.
On May 3, Rep. David P. Roe introduced a bill to establish a permanent community care program for veterans and to establish a commission for the purpose of reviewing facilities of the Veterans Health Administration.
Legislation
On Thursday President Trump asked Congress to “fix” the Veterans Choice healthcare program, which will soon run out of funding. Earlier in the day, the chairman of the House Veterans' Affairs Committee introduced a bill that would permit eligible veterans to see private sector physicians and would expand caregiver benefits for older veterans. (TheHill.com)
Medicaid
A new report from Mathematica Health Policy found that Medicaid spending substantially decreased when beneficiaries transitioned from institutional care into community-based care. (Medicaid.gov)
Private Sector
Health IT vendor Allscripts announced Thursday that it signed a definitive agreement to acquire HealthGrid Holding Company (HealthGrid), a mobile enterprise patient engagement platform business, in a $60 million cash deal. The acquisition is estimated to be closed in Q2 2018. (AllScripts.com)
International
Ping An Healthcare, which operates China’s largest online healthcare platform, made its debut on the Hong Kong stock market today with shares opening up 4.6%. (Reuters.com)
#Medicaid #Legislation #Litigation #International #PrivateSector