Court Rejects Claim that a Doctor’s Loss of Privileges is an Antitrust Injury

A federal appeals court held that a doctor who lost his privileges at a local hospital failed to establish an antitrust injury sufficient to confer standing under the Sherman Act. The United States Court of Appeals for the Third Circuit affirmed a district court ruling that Dr. Victor Novak could not show that he …

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OIG Approves Lease of Employees to Psych Hospital

On July 28 the Office of Inspector General (OIG) of Health & Human Services gave its blessing to a health system’s lease of employees to a related psychiatric system.  Under the arrangement the system would also provide management services.  In return, the hospital would pay the system its “fully …

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Beware of Nurses Bearing Gifts

Alisia and David blew the whistle on their former employer, Nurses’ Registry & Home Health, for sending gift baskets and ticket events to doctors who referred patients to the home health operation.  Their qui tam suit alleged that the gifts violated the Stark Law. The government joined in.  Nurses’ …

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Hospital May Fire Employee Whose Religion Prevented Working in Abortion Unit

On June 29 a federal court dismissed a lawsuit brought against a hospital by a former employee who was fired because she refused to work in a unit where abortions were performed. In 2012 Nikita Montgomery was hired to work in the Planned Parenthood department of a county hospital.  In accepting the employment, …

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Minnesota Joins 9-State Compact Expediting Telemedicine Across State Lines

Effective July 1, 2015, Minnesota will join the Interstate Medical Licensure Compact, a group attempting to expedite the licensing of physicians seeking to provide telemedicine services to patients located in other states. Minnesota joins eight other states in the Compact – Alabama, Idaho, Montana, Nevada, South …

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Out of the Mouths of Babes: Millions of Medicaid Dollars

Last Monday the Office of Inspector General of Health & Human Services posted a hair-raising report.  “Questionable Billing for Medicaid Pediatric Services in California” raises alarming questions about the billing practices and service quality of some of that state’s dentists—especially those working …

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