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The IRS has revoked an un-named hospital's non-profit status for the failure to conduct a community health needs assessment, adopt an implementation strategy and make it widely available to the public.
California has again fined Kaiser Permanente. This fine is $2.2 million for not providing data on patient care to Medicaid patients. They have state of the art EMR and should be able to retrieve the required information with a push of a button, if they wanted to. They have not been in compliance since 2014. They have about 700,000 Medicaid enrollees. Top
For the first time the California Department of Managed Care has fined a HMO (Health Net) for refusing to approve gender identification surgery. Seven people wanted the surgery and were denied the coverage. The insurer said in some of the cases that it was a cosmetic procedure. The fine was $250,000, small potatoes.
A group in Iowa has filed a dispute with Wellmark to the feds for Wellmark's telling that they are insuring a hemophiliac and that insurance is costing them $1 million per month. The group believes this is a violation of HIPAA. The teenager is no longer insured by Wellmark as the insurer has pulled out of the state. Top
DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the
time of publication. Nothing in this article constitutes legal advice. Readers
should consult with their own legal counsel before acting on any of the
information presented.