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Supreme Court to Hear Cases on Hospital Deals, Payment Appeals
The U.S. Supreme Court has set hearing dates in November and December for three healthcare cases that will test the boundaries for acquisitions by public hospital authorities, Medicare payment appeals and settlements in wage-and-hour class-action lawsuits.
On Nov. 26, the justices will hear arguments in the case of FTC v. Phoebe Putney Health System. In that case, the Federal Trade Commission is seeking to unwind the $198 million acquisition of a formerly for-profit hospital in Albany, Ga., that was purchased by a public hospital authority that owns the only other competing hospital in the county.
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Source: ModernHealthcare.com
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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