Latest news with #UMMS
CBS News
12 hours ago
- Health
- CBS News
University of Maryland Medical System files $15 million lawsuit over denied health service claims
The University of Maryland Medical System has filed a lawsuit against Physicians Care MCO, accusing the company of improperly denying $15 million in claims for health services. Physicians Care MCO is one of four companies that manages Medicare claims for the state. The UMMS says the company denied claims to 15,000 lower-income patients who use Medicaid. This group of patients includes individuals who were infected with COVID-19, and premature babies treated in neonatal intensive care units, according to the lawsuit. According to the lawsuit, Physicians Care MCO denied claims in a way that violated federal and state laws, as well as its contract with the health system. The UMMS said the company engaged in a "longstanding, ongoing, deliberate, and systematic practice of denying timely and complete payment." Lawsuit details claims of wrongful denial of coverage The lawsuit details multiple examples of what the UMMC says was unlawful denial of coverage. According to the lawsuit, MPC decided that a patient no longer needed to stay in the hospital, despite having recently survived cardiac arrest and a gunshot wound, because their level of pain was deemed too low to warrant continued care. In another case, the suit alleges that MPC denied coverage to a patient with multiple active medical conditions including a recent stroke, HIV, COVID-19, and sepsis - while that patient was still fighting to stabilize. In one example the UMMC said the company declined coverage to a premature infant that was exposed to fentanyl and cocaine in utero. The infant was diagnosed with extreme respiratory distress, recurrent apnea, severe feeding intolerance, and numerous other comorbidities associated with extreme prematurity, according to the lawsuit. "These denials were not just inappropriate—they were cruel. They demonstrate that MPC's corporate profit motives override the medical needs of the sickest and smallest patients in the State," the UMMS wrote. The Baltimore Banner reached out to Physicians Care MCO, but a response has not yet been received.
Associated Press
30-04-2025
- Health
- Associated Press
Congratulations to Merry Jiang of JHU, the 2025 CAHME/Olin Oedekoven Scholarship Recipient for Most Improved Student
'These students are integral to driving meaningful change in the field and support CAHME's mission to advance the quality of healthcare management education.'— Dr. Anthony Stanowski, DHA, FACHE, President and CEO of CAHME SPRING HOUSE , PA, UNITED STATES, April 30, 2025 / / -- Merry Jiang, a Master of Healthcare Administration (MHA) Candidate at Johns Hopkins University, has been named the 2025 recipient of the CAHME /Olin Oedekoven Scholarship for Most Improved Student . CAHME scholarships recognize students enrolled in CAHME accredited programs who demonstrate exceptional potential to innovate and drive meaningful change in healthcare. This award was presented during the 10th Annual CAHME Awards Ceremony at the American College of Healthcare Executives (ACHE) Congress on Healthcare Leadership on March 23, 2025. 'Merry was chosen for her leadership and motivation to inspire true change in healthcare. With a clear focus on enhancing patient experience and improving safety and quality of care, she is dedicated to shaping a better healthcare system. As a mentor, Merry actively supports and guides her peers, fostering a collaborative and empowering environment. Her actions reflect a deep commitment to transformative change and a passion for advancing the future of healthcare,' said Kayla Vos, Chief Operating Officer, Peregrine Global Services. 'I am honored to have nominated Merry Jiang for the CAHME/Olin Oedekoven Scholarship for Most Improved Student. Her experiences have shaped her into a dynamic force within the field, with a deep understanding of both the challenges and opportunities in healthcare. Merry currently serves as the Secretary of the MHA Student Association and was chosen as the Administrative Resident in the Integration Office at the University of Maryland Medical System (UMMS). In this role, she works closely with the CEO and C-suite leadership, contributing to strategic initiatives that influence all eight hospitals and 43 shared business units within the system,' said Dr. Mark Bittle, DrPH, MBA, FACHE, MHA Program Director at Johns Hopkins University. 'CAHME scholarship recipients are a testament to the dedication of students who represent the future of healthcare leadership. These awards honor individuals who not only excel academically but also show an unwavering commitment to driving meaningful change in healthcare through innovation and advocacy,' said Anthony Stanowski, DHA, FACHE, President and CEO of CAHME. 'I am truly honored to have been chosen for the CAHME/Olin Oedekoven Scholarship for Most Improved Student. This recognition is not just a personal achievement, but a testament to the guidance, support, and inspiration I've received along the way. Winning this award strengthens my resolve to continue working toward improving healthcare systems and optimizing operational efficiency, as I've done through my project management and data-driven initiatives as an Administrative Resident at UMMS. It provides me with the motivation and resources to keep pushing forward in my studies and future career,' said Merry Jiang, MHA Candidate at Johns Hopkins University and 2025 CAHME Award Recipient. About CAHME Since 1968, the Commission on Accreditation of Healthcare Management Education (CAHME) has advanced the quality of healthcare management education globally. CAHME accredits 157 programs in over 40 states, territories, and provinces throughout the United States, Canada, and other countries. CAHME Accreditation is the benchmark for students and employers alike that ensures that students are well prepared to lead in healthcare management. About the CAHME/Olin Oedekoven Most Improved Student Scholarship The CAHME/Olin Oedekoven Most Improved Student Scholarship is named for Olin Oedekoven, who founded Peregrine Global Services. Peregrine emerged as a global leader and thought-partner in higher education services, providing online assessment and instructional solutions to more than 500 higher education institutions worldwide. Olin had strong leadership, an entrepreneurial spirit, and a deep-seated commitment to making a meaningful difference. About the MHA Program at The Johns Hopkins Bloomberg School of Public Health The Johns Hopkins Bloomberg School of Public Health's Master's in Health Administration (MHA) program is uniquely designed for future health care executives early in their careers. The accelerated curriculum includes one year of full-time academic coursework followed by a full-time, 11-month compensated administrative residency in one of many Hopkins affiliate or partner institutions across the country. MHA graduates leave the program with high-level, hands-on experience, a professional network, and the analytical, technical, and management skills required to lead in hospitals and health systems, the health insurance industry, and consulting firms. Megan Vohden CAHME +1 301-298-1820 ext. 704 email us here Legal Disclaimer: EIN Presswire provides this news content 'as is' without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.
CBS News
03-04-2025
- CBS News
Baltimore attorney sentenced for attempting to extort medical center
A Baltimore attorney was sentenced Wednesday to six months of house arrest and three years of probation for attempting to extort the University of Maryland Medical System (UMMS), according to the Maryland U.S. Attorney's Office. Court documents show that medical malpractice attorney Stephen L. Snyder represented two clients who allegedly experienced injuries after organ transplants at the University of Maryland Medical Center (UMMC). Between January 2018 and September 2018, Snyder tried to extort UMMS by threatening to destroy the UMMC transplant department unless UMMS paid him $25 million personally. He aksed that the payment be separate from any settlement with his client, according to court documents. Snyder said he would launch a public relations campaign that falsely accused UMMC of tricking patients into accepting diseased organs, according to court documents. He further claimed he would run a front-page ad in a newspaper, hold a press conference and create an advertisement directing potential UMMC transplant patients to his law firm's website. Snyder also threatened to create commercials accusing UMMC of putting "profits over safety." According to court documents, he played the commercials during meetings with attorneys who represented UMMS. Snyder claimed the parties could enter a fake consulting agreement that would provide cover from the $25 million payment, court documents showed. Court documents also showed that Snyder made his demands and threats during a series of meetings and phone calls with attorneys in 2018. One of the meetings in August 2018 was recorded by federal officials. Snyder was found guilty of extortion and violating the Travel Act in November 2024 following a nine-day trial. According to our partners at The Baltimore Banner, Snyder won hundreds of millions of dollars during the course of his career. During the trial, Snyder represented himself, arguing that he had been aggressive in the case, but had no criminal intent and was instead entrapped by federal law enforcement officials. Snyder spent one night in jail after a judge found him in contempt during closing arguments, saying he intentionally violated several of her orders, according to the Baltimore Banner. Before the extortion claims landed him in court, Snyder was able to win $13.5 million in settlements for his clients.
