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The Legal Intelligencer

HHS Issues Proposal to Modernize How Medicare Pays Physicians for Quality

It is worthwhile to understand some of what is being considered to attempt the difficult task of linking reimbursement and quality.
11 minute read

The Legal Intelligencer

Estate of Woman Killed by Infection Recovers $1.35M

The estate of a woman who died from a fungal infection while at UPMC Presbyterian in Pittsburgh will receive $1.35 million from a settlement over a wrongful-death and survival lawsuit.
2 minute read

The Legal Intelligencer

State Med-Mal Verdicts Hit 15-Year Low

Medical malpractice jury verdicts across the state have hit their lowest point since the Administrative Office of Pennsylvania Courts began reporting the figures in 2000.
5 minute read

National Law Journal

Morning Wrap: Trump Escalates Attack on Judge | Don Verrilli Hangs Up His Morning Coat

Republican presidential candidate Donald Trump steps up his criticism of a judge presiding over a fraud suit against Trump University, but Trump's lawyers at O'Melveny & Myers haven't yet filed any recusal motion. Donald Verrilli Jr. steps down as U.S. solicitor general. And more insurers are taking the U.S. to cover demanding hundreds of millions of dollars in payments under the Affordable Care Act. This is a roundup from ALM and other publications.
15 minute read

New York Law Journal

Statistical Sampling in Health Care Litigation

John G. Martin writes: Although the FCA and most provider contracts with insurance companies do not discuss statistical sampling and extrapolation, it has become routine for the government, whistleblowers and insurers to demand repayment of thousands of claims that they have not reviewed, by pointing to errors in a subset of claims that they have reviewed.
29 minute read

National Law Journal

North Carolina Blue Cross Sues Feds for $130M in Health Care Payments

Blue Cross and Blue Shield of North Carolina on Thursday became the latest insurer to take the federal government to court over the Affordable Care Act, arguing that it is owed nearly $130 million under a program designed to limit the financial risks of entering new health care markets.
11 minute read

Texas Lawyer

Susman Godfrey Wins $14M for Hospital

Chalk up a win for hospitals over insurers in the fight over out-of-networking billing.
5 minute read

National Law Journal

Chart: Donald Verrilli's Wins, Losses in the Big Cases

Donald Verrilli Jr. represented the United States in 38 Supreme Court arguments since becoming U.S. solicitor general in 2011. Here's a look at his wins and losses in some of the biggest cases.
3 minute read

Connecticut Law Tribune

Group Home Operator Reaches $1.5 Million Settlement With State

State and federal officials have reached a $1.5 million settlement with a former Connecticut group home operator that was alleged to have submitted improper Medicaid claims for interest expenses
7 minute read

The Legal Intelligencer

Effort to Exempt ER Care From Liability Stirs Debate

A bill that would grant immunity from malpractice liability for emergency health care services has cleared committee in the state House of Representatives, opening up discussions over the reach of the proposed amendment, its possible effect on patient care and what it would mean for potential litigants.
5 minute read

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