Articles

Anthem sued by doctors in dispute over emergency room coverage

The health insurer Anthem Inc. was sued by doctors in Georgia for declining to pay for some emergency room care, escalating a long-running battle over how far insurance plans can go to push patients to seek lower-cost treatment. It’s the latest legal challenge over a change in policy that Indianapolis-based Anthem says was designed to cut down on patients going to an emergency room in situations that don’t require it. 

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Health officer rejects needle exchange for Miami County

The number of hepatitis C cases doesn’t justify implementing a local needle exchange program despite cases doubling in just one year, a Miami County health official said. Health Officer Dr. Rafik Farag declined to declare an epidemic caused by needle sharing despite pleas from other officials.

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Former Mainscape CEO sentenced in nursing home kickback scheme

A fifth person who played a role in a $19 million kickback scheme involving Indiana nursing homes has been sentenced to probation. David Mazanowski, founder and former CEO of the Fishers-based landscaping firm Mainscape Inc., pleaded guilty in U.S. District Court to one felony count of conspiracy to commit mail, wire and health care fraud. […]

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Hadler: Changes to CMS Nursing Home Compare provide better data

The Center for Medicare and Medicaid Services (CMS) regularly monitors and publishes comparative data for nursing homes throughout the nation. In Indiana, there are 551 facilities that receive Medicare and/or Medicaid reimbursement and are thereby subject to this regulation.

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Prison doctor must face inmate suit as judge seeks counsel

A prison doctor must face a lawsuit from an inmate who claims the physician didn’t follow a surgeon’s orders for pain medication and physical therapy after the inmate’s back surgery. The judge in the case also said he would solicit counsel to represent the inmate going forward.

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Judge: FSSA must allow quadriplegic to receive home care

An elderly quadriplegic who has been confined to a hospital or nursing home since February 2016 could soon return home after a district judge ruled the Indiana Family and Social Services Administration violated her rights by failing to provide her with home-based care.

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Justices allow Arkansas to enforce abortion restrictions

The Supreme Court on Tuesday allowed Arkansas to enforce restrictions on how so-called abortion pills can be administered while a legal challenge to the restrictions proceeds, which critics say effectively ends that option for women in the state.

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COA upholds suspension of Gibson County doctor’s license

A Gibson County doctor who violated multiple federal regulations when he impermissibly prescribed prescription narcotics to his girlfriend and other patients has lost his appeal to reinstate his Indiana medical license. The Indiana Court of Appeals found evidence supported his suspension.

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