Broadening of Indiana Collateral Source Statute

The issue comes up a lot in personal injury cases: may the defendant introduce the discounted amount the provider actually accepted for medical services as evidence to be weighed against the undiscounted bill the plaintiff introduces?  In the case before the Indiana Supreme Court the two amounts were miles apart: …

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DOJ Antitrust Head Remains Focused on Health Care in Era of Consolidation

Speaking at an industry conference on November 13, U.S. Assistant Attorney General Bill Baer reiterated the government’s focus on competition concerns in the health care industry. According to Baer, head of the Department of Justice’s Antitrust Division, while the Affordable Care Act (ACA) “promotes …

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Health Facilities May Be Insuring Doctors without Knowing It

A September 29 ruling by the New Jersey Supreme Court effectively makes a health facility liable for the professional negligence of a medical staff member who doesn’t have malpractice insurance or who has insurance that doesn’t cover the acts in question. Dr. Kaul performed a spinal fusion on Jim Jarrell at …

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Third Cir. Holds Hospitals May Sue Health Insurers Directly

Before September 11 the Third Circuit Court of Appeals had been out of step with its sister federal circuits when it came to the right of hospitals, physicians and other health providers to sue health insurers that failed to cover patient obligations. So back in 2014 when North Jersey Brain & Spine Center …

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Court Adopts Tough Interpretation of 60-Day Repayment Rule

New York’s Mt. Sinai Hospitals can’t seem to catch a break in its long-running battle with whistleblower Bob Kane.  First, the government joined the case and wanted not just the $1,000,000 in Medicaid overpayments, but an additional $13,000,000.  Why $13,000,000?  Well, $1,000,000 trebled is $3,000,000; the …

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When Is a Hospital Not a Hospital?

When is a hospital not a hospital?  The Fifth Circuit provided an answer in a July 29 decision in favor of a nurse seeking insurance coverage for medical treatment at a residential treatment facility. Rebecca was a nurse at North Cypress Medical Center, in Texas.  Back in 2011 she was treated for an eating …

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