Suit accuses hospital chain of overbilling

By Associated Press A former executive at a San Diego hospital has filed a $50 million whistle-blower lawsuit against Prime Healthcare, accusing it of defrauding Medicare. The hospital chain called the allegations “speculative nonsense.” Read more…
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Insurers Fight Hospitals’ Paying Premiums

By Louise Radnofsky & Christopher Weaver A charity’s plan to help people pay for coverage through new health-care exchanges has put it at the center of a high-stakes fight between the insurance and hospital industries that could pose a challenge to the economic underpinning
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Calif. rejects Obama’s insurance-cancellation fix

By Associated Press The board overseeing California’s health insurance exchange voted unanimously Thursday to stick with its current year-end deadline of phasing out more than 1 million individual health insurance policies that fail to meet requirements of the federal healthcare
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Sutter Health agrees to $46 million settlement for billing practices

By Cynthia H. Craft Sutter Health announced Monday it will pay $46 million to settle a whistle-blower lawsuit that state Insurance Commissioner Dave Jones says exposed a practice of double-billing for anesthesia services. By agreeing to the out-of-court settlement, which Jones says is
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Sutter agrees to $46 million settlement in anesthesia billing case

By Joe Carlson On the eve of trial, one of California’s largest hospital systems, Sacramento-based Sutter Health, agreed to pay $46 million and unveil its profit margins on anesthesia services in order to settle a lawsuit with the state insurance commissioner over inflated hospi
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Kentucky’s exchange doing well despite using same contractor as the feds

By Joseph Conn Some observers have blamed the federal government’s prime contractor, CGI Federal, for the severe glitches that have blocked many Americans from signing up for health coverage through the new federal online health plan marketplace. Several state-run insurance exch
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Exchange variables – Finding providers depends on state

By Maureen McKinney Choice of healthcare provider often ranks second only to cost when consumers choose a health insurance plan. But for visitors to the new federally facilitated and state-run insurance exchanges, their ability to search easily for in-network doctors and hospitals wil
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Healthcare.Gov’s Flaws Found, Fixes Eyed

By Christopher Weaver & Louise Radnofsky Government officials are considering rebuilding some parts of the federally run health-insurance marketplace that have been identified as the key flaws that blocked many consumers from getting coverage. Read more…
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Insurers See Enrollment on New Health Exchanges

By: Christopher Weaver Insurers said they are now getting enrollees through the health law’s new online marketplaces, though some state websites and the federally run exchange continued to be slow amid heavy traffic. Read More..
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‘Obamacare’ demand signals potential success for exchanges

Article Written by:  Alex Nussbaum   Taken From:  Employee Benefit Advisor ‘Obamacare’s’ opening day drew millions of consumers to the law’s core insurance exchanges, offering supporters and investors confidence that if the websites can stay up and running, customers will follow. In N
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