Health & Insurance

Anthem-Cigna merger goes to judge for ruling that could end deal

December 14, 2016
 Bloomberg News
The first phase of the U.S. Justice Department’s lawsuit to halt Anthem Inc.’s planned takeover of rival insurer Cigna Corp. is in the hands of a federal judge after the government wrapped up its arguments Tuesday that the deal would harm competition in the national insurance market.
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Anthem’s Cigna takeover could draw $3B Blue Cross fine, exec testifies

December 1, 2016
 Bloomberg News
Anthem Inc. could face a penalty of about $3 billion from the national Blue Cross Blue Shield Association if it fails to derive the bulk of its nationwide revenue from Blue-branded products after acquiring Cigna Corp., according to testimony from an Anthem executive during a U.S. antitrust trial in Washington.
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House seeks delay in health law appeal pending new president

November 22, 2016
 Associated Press
The Republican-led House of Representatives is asking the federal appeals court in Washington to delay consideration of a case involving the Obama health care law because Donald Trump has pledged to repeal and replace it when he becomes president.
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Auditor says Eskenazi Health fired her for identifying improper billing

November 11, 2016
John Russell, IBJ Staff
A compliance auditor at Eskenazi Health claims she was fired after alerting her supervisor that the hospital was improperly billing the federal government and Indiana for potentially hundreds of patients whose bills were already being paid by research grants.
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Fired manager files discrimination suit against Eskenazi Health

November 10, 2016
John Russell, IBJ Staff
A former manager at Eskenazi Health in Indianapolis claims she was fired after complaining that her boss was pressuring her to hire more minorities.
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Stanley ruling extends to government medical reimbursements

October 21, 2016
Dave Stafford
The Indiana Supreme Court on Friday extended the admission of evidence of reduced health care payments in personal injury suits to include reimbursements from government payers.
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Indiana Supreme Court won't take case over medical bills

October 10, 2016
 Associated Press
The Indiana Supreme Court has declined to take a case involving a man who was seriously injured in a crash and amassed over $625,000 in medical bills.
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Anthem, Cigna may be forced to reveal merger-dispute documents

October 7, 2016
 Bloomberg News
Anthem Inc. and Cigna Corp. should be required to reveal documents in which the health insurance companies accuse each other of breaching their merger agreement, according to an adviser to the judge overseeing a U.S. lawsuit seeking to block the deal.
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Anthem, Cigna accusing one another of merger breach, US says

September 22, 2016
 Bloomberg News
Anthem Inc. and Cigna Corp., the health insurers fighting a U.S. antitrust lawsuit, have accused one another of breaching their $48 billion merger agreement, the Justice Department said in a court filing.
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COA affirms health services provider in contempt for not producing records

September 14, 2016
Olivia Covington
The Indiana Court of Appeals has affirmed that Meridian Health Services was in contempt of court when it failed to provide a patient’s father with her health records after a subpoena ordered the health services provider to do so.
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DOJ willing to consider settlement in Anthem, Cigna merger

August 12, 2016
 Bloomberg News
A Justice Department lawyer on Friday told the judge in the antitrust case over Anthem Inc.’s $48 billion takeover of Cigna Corp. that the government was willing to hear settlement offers from the companies.
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Aetna judge hands off Anthem merger case to speed trials

August 8, 2016
 Bloomberg News
The judge overseeing two U.S. cases challenging mergers among four of the biggest health insurers gave up one case, improving the odds for rulings on both tie-ups by the end of the year and reducing the chance they fall apart beforehand.
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Anthem says Cigna deal at risk without merger ruling by year-end

August 5, 2016
 Bloomberg News
Anthem Inc. says its planned takeover of Cigna Corp. is in danger of collapsing unless there’s a quick trial to resolve a U.S. lawsuit seeking to block the deal.
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Reversal: HHGregg prevails in appeal over managers’ bonuses

July 22, 2016
Dave Stafford
HHGregg senior managers are not entitled to share in $40 million in life insurance proceeds from the 2012 death of executive chairman of the board Jerry Throgmartin, the Indiana Court of Appeals ruled Friday, reversing a trial court ruling in the managers’ favor.
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Woman sues state over untimely insurance enrollment

July 21, 2016
IL Staff
A lawsuit filed Thursday alleges the state ignored federal law requiring it to provide health insurance coverage within a reasonable time frame and must retroactively pay for an Elletsville woman’s medical bills.
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Feds sue Anthem, Cigna to block $48B merger

July 21, 2016
 Bloomberg News, IBJ Staff
U.S. antitrust enforcers on Thursday roundly rejected a pair of proposed deals that would consolidate the nation’s five biggest health insurers into just three.
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US preparing lawsuits against Anthem, Aetna deals, sources say

July 19, 2016
 Bloomberg News
U.S. antitrust officials are poised to file lawsuits to block Anthem Inc.’s takeover of rival health-insurer Cigna Corp. and Aetna Inc.’s deal to buy Humana Inc., according to a person familiar with the matter.
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Worker health, company headache

July 13, 2016
Marilyn Odendahl
New EEOC regulations add to the milieu of rules governing company wellness programs.
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US health fraud stings net 301 people this year, most ever

June 22, 2016
 Bloomberg News
The U.S. charged 301 people this year in a series of medical fraud sting operations, the most ever, for allegedly running scams that bilked the government out of $900 million.
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Division of judgment in failed care facility financing affirmed

May 31, 2016
Dave Stafford
A former Indiana lawmaker and his business partners must pay a pro rata share of a deficiency judgment over defaulted financing for a rehabilitation care facility in Liberty, Indiana, the Court of Appeals affirmed Tuesday.
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Judge sides with House Republicans against health care law

May 12, 2016
 Associated Press
In a setback to President Barack Obama's health care law, a federal judge ruled Thursday that the administration is unconstitutionally spending federal money to fund the measure without approval from Congress.
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National medical-legal partnership conference convenes in Indianapolis

April 7, 2016
Marilyn Odendahl
An estimated 400 attorneys, medical professionals and social workers from around the country have come to Indianapolis for the 2016 National Medical-Legal Partnership Summit.
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COA: Agreed judgment not appealable

April 7, 2016
Scott Roberts
The Indiana Court of Appeals said an agreed judgment is not appealable and reversed a Marion Superior Court decision that ruled in favor of a woman who prolonged judgment in the court so she wouldn’t have to pay $850 in medical bills and fees.
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Hospital cyberattack highlights health care vulnerabilities

March 30, 2016
 Associated Press
A cyberattack that paralyzed the hospital chain MedStar this week is serving as a fresh reminder of vulnerabilities that exist in systems that protect sensitive patient information.
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Southern District launches initiative to help pro se litigants

March 23, 2016
Marilyn Odendahl
In response to a series of cases remanded from the 7th Circuit Court of Appeals, the Southern District of Indiana is attempting to recruit more volunteer attorneys and, in what one observer called a “very progressive” approach, enlist medical professionals to offer expert testimony.
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  1. Hysteria? Really Ben? Tell the young lady reported on in the link below that worrying about the sexualizing of our children is mere hysteria. Such thinking is common in the Royal Order of Jesters and other running sex vacays in Thailand or Brazil ... like Indy's Jared Fogle. Those tempted to call such concerns mere histronics need to think on this: http://www.msn.com/en-us/news/us/a-12-year-old-girl-live-streamed-her-suicide-it-took-two-weeks-for-facebook-to-take-the-video-down/ar-AAlT8ka?li=AA4ZnC&ocid=spartanntp

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  3. This is happening so much. Even in 2016.2017. I hope the father sue for civil rights violation. I hope he sue as more are doing and even without a lawyer as pro-se, he got a good one here. God bless him.

  4. JLAP and other courtiers ... Those running court systems, have most substance abuse issues. Probably self medicating to cover conscience issues arising out of acts furthering govt corruption

  5. I whole-heartedly agree with Doug Church's comment, above. Indiana lawyers were especially fortunate to benefit from Tom Pyrz' leadership and foresight at a time when there has been unprecedented change in the legal profession. Consider how dramatically computer technology and its role in the practice of law have changed over the last 25 years. The impact of the great recession of 2008 dramatically changed the composition and structure of law firms across the country. Economic pressures altered what had long been a routine, robust annual recruitment process for law students and recent law school graduates. That has, in turn, impacted law school enrollment across the country, placing upward pressure on law school tuition. The internet continues to drive significant changes in the provision of legal services in both public and private sectors. The ISBA has worked to make quality legal representation accessible and affordable for all who need it and to raise general public understanding of Indiana laws and procedures. How difficult it would have been to tackle each of these issues without Tom's leadership. Tom has set the tone for positive change at the ISBA to meet the evolving practice needs of lawyers of all backgrounds and ages. He has led the organization with vision, patience, flexibility, commitment, thoughtfulness & even humor. He will, indeed, be a tough act to follow. Thank you, Tom, for all you've done and all the energy you've invested in making the ISBA an excellent, progressive, highly responsive, all-inclusive, respectful & respected professional association during his tenure there.

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