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The Continued Demise of Gag Clauses

In recent years, HMOs have come under increasing fire for the practices used by some, but not all, HMOs.

Medical Center Punished for Kickbacks to Doctors

Various components of an Indiana health care system have been subject to serious sanctions in regard to the federal anti-kickback law.

Those Trademark Licensing Blues

You would be singing a sad song, indeed, if your right to use a prominent name in the health care industry was taken away from you.

Public to Private Hospital Conversions

Public to private hospital conversions have grabbed headlines in recent months.

Does "Current" Drug Use Mean Yesterday, Last Week or Last Month?

After a nurse was confronted by her hospital employer about the theft of narcotics, she admitted ordering excess medicine and diverting it for her own use.

Did You Know? Fall 1997

Assignment of Medicare Payments. Did you know that the Health Care Financing Administration (HCFA) has announced that Medicare payments will no longer be made payable to emergency room sta

HIV Status Remains Confidential to Sisters, Brothers, Nieces and Nephews

Recently, the Maryland Court of Special Appeals ruled that health care providers are not required to notify family members of a patient's HIV status. In Lemon V.

Fraud and Abuse Advice Now Available from the Feds - at a Price

Implementing changes to the Social Security Act, the Office of the Inspector General of the Department of Health & Human Services (OIG) has issued regulations concerning the provision of adviso

Maryland Health Insurance Regulation Struck Down

The U.S. Court of Appeals for the Fourth Circuit, in American Medical Security v.

1997 Maryland Legislative Session

The following is a sampling of health care/health insurance measures enacted by the Maryland General Assembly during its 1997 Session:

Antitrust Guidelines

In 1996, the Department of Justice and the Federal Trade Commission (the Agencies) updated their joint Statements of Antitrust Enforcement Policy in health Care (the Statements).

Did You Know? - Summer 1997

Antitrust Settlement for Mental Health Networks.

AWP Statutes and ERISA Preemption

Last fall, the Supreme Court declined to review the 1996 Fifth Circuit decision in State of Louisiana v. CIGNA.

Grandfathering Period Ends for Maryland's Self-Referral Law

Maryland's self-referral law, enacted in 1993, generally prohibits health care practitioners from referring patients to entities in which they have an ownership interest, or with which they have a

MDs, PPMCs and the SEC

Health care providers are long used to living with and talking in acronyms, from M.D. and Ph.D., to CT and EKG.

Physician Incentive Plans Under Siege

Physicians are, of course, expected to provideappropriate levels of patient care. However someargue that, under a fee-for-service paradigm,

Maryland Regulatory News - Summer 1997

1. The Health Services Cost Review Commission's (HSCRC) 1997 Annual Disclosure Report revealed that Maryland's cost per hospital admission was about 3% below the U.S. average in FY 1996.

New Law Makes It Harder to Deny Coverage for Preexisting Conditions

The federal Health Insurance Portability and Accountability Act (HIPAA) imposes certain new obligations on group health plans.

Provider-Sponsored Organizations

In the fast moving world of risk bearing, managed health care entities, a new player has emerged, namely "provider-sponsored organizations" (or PSOs).

Supreme Court Finds No Constitutional Right to Physician-Assisted Dying

In a pair of decisions, the U.S. Supreme Court held, on June 26, 1997, that terminally ill individuals do not have a constitutionally protected right to a physician's assistance to die.