Tag Archives: case

Supreme Court hears case over disproportionate share hospital payments

The Supreme Court was expected to hear oral arguments today over notice and rulemaking requirements for Medicare reimbursement. The outcome of Azar vs. Allina Health Services could greatly affect reimbursement for hospitals that serve a disproportionate share of low-income patients. The DSH payment calculation is based on the percentage of low-income patients served. The government… Read More »

JPM 2019: Bristol-Myers, Celgene CEOs trot out detailed case for $74B megadeal

SAN FRANCISCO—Bristol-Myers Squibb and Celgene sent 2019’s first big shockwave throughout pharma with last week’s $ 74 billion megamerger announcement. And they immediately touched off questions about the deal: Analysts called it too expensive, not to mention risky on the patent side and pipeline, too. But even as market watchers continued to offer up their reservations on… Read More »

A case of the Blues: BCBS plans' appeal rejected, must face antitrust allegations

Dive Brief: The 11th U.S. Circuit Court of Appeals this week upheld a federal court ruling from April that the 36 Blue Cross Blue Shield plans’ agreement to limit competition while staking claim in exclusive markets is a per se violation of the Sherman Antitrust Act.  The class action lawsuit has been ongoing for six… Read More »