Philadelphia physician accused of running pill mill mounts unique defense during trial

William J. O'Brien III, DO, has been in jail since January 2015 for exchanging sex for drugs and running a pill mill. Now he's serving as his own attorney during trial and mounting an unusual defense, according to the Pittsburgh Post-Gazette. By Erin Marshall -

Trinity Health hospital to pay $107M to settle pension mismanagement lawsuit

Hartford, Conn.-based St. Francis Hospital, part of Livonia, Mich.-based Trinity Health, will pay $107 million to settle a lawsuit alleging it mismanaged its pension plan, according to Bloomberg BNA.  By Ayla Ellison -

Fla. physician gets 25 years in prison for 3 overdose deaths

A federal judge sentenced a 76-year-old physician to 25 years in prison for the deaths of three patients who overdosed on pain medications he prescribed, according to the Tampa Bay Times.  By Emily Rappleye -

Husband and wife sentenced to prison for bilking $2.7M from Sheppard Pratt Health System through IT company

A husband and wife have been sentenced to three and a half years in prison after pleading guilty to pilfering $2.7 million from Towson, Md.-based Sheppard Pratt Health System by billing it for IT services through a company the couple controlled, according to the Towson Patch. By Tamara Rosin -

Va. governor vetoes bill, blurs distinction between direct primary care and insurance

Democratic Virginia Gov. Terry McAuliffe on Friday vetoed a bipartisan healthcare bill that would have clarified the distinction between direct primary care — which allows patients to pay physicians a monthly retainer for unlimited care — and health insurance, according to NBC. By Tamara Rosin -

Judge blocks Ohio law that would cut funding to Planned Parenthood

In a Monday ruling, a federal judge in Cincinnati temporarily blocked the passage of a state law that would have defunded 28 Planned Parenthood clinics in Ohio, according to Reuters. By Tamara Rosin -

UK accused of withholding physician compensation details

The Kentucky attorney general's office has determined that University of Kentucky violated state open record law when it denied a request for minutes of meetings conducted by a committee that determines faculty physician compensation, reports Lexington Herald Leader. By Brooke Murphy -

Physician admits to billing Medicare for dead patients

A suspended physician pleaded guilty to two counts of healthcare fraud in federal court Friday, in a scheme that involved billing Medicare for services provided to deceased patients, according to the Department of Justice.  By Ayla Ellison -

Physician assistant excluded from Medicare program for accepting kickbacks

A 73-year-old physician assistant from Alama, Mich., will be excluded from the Medicare and Medicaid programs for at least five years for accepting $12,600 in illegal kickbacks, according to the Department of Justice.  By Ayla Ellison -

Ariz. Supreme Court: Hospitals can enforce liens for Medicaid reimbursement

The Arizona Supreme Court has ruled hospitals can record and enforce liens on patients' legal settlements to get additional or full reimbursement for the costs of providing care for some Medicaid patients, reports Charlotte Observer. By Brooke Murphy -

Va. governor vetoes bill that would prevent Medicaid expansion

Virginia Gov. Terry McAuliffe (D) on Friday vetoed language that Republican lawmakers included in the state budget earlier this year that would prevent him from expanding Medicaid without legislative approval, according to The Washington Post. By Tamara Rosin -

Whistle-blower claims 33 hospitals submitted more than $1B in fictitious costs

A whistle-blower recently defended the viability of a federal complaint he filed, saying 33 hospitals in North Carolina, South Carolina and Georgia benefited from fictitious cost report claims submitted to Medicare and Medicaid.  By Ayla Ellison -

15 latest healthcare industry lawsuits, settlements

From the Supreme Court sending a lawsuit over the Affordable Care Act's contraceptive mandate back to the lower courts to health IT company Cerner facing another overtime lawsuit, here are the latest healthcare industry lawsuits and settlements making headlines.  By Ayla Ellison -

Senator sues to prevent Rhode Island hospital from scaling back services

Democratic Rhode Island Sen. William Conley, who serves Pawtucket and East Providence, is working pro bono as the lawyer on a suit filed to prevent Providence, R.I.-based Care New England Health System from cutting services at Memorial Hospital in Pawtucket.  By Ayla Ellison -

Bill seeks to close healthcare program exclusion loophole in fraud cases

A bill introduced in the House would expand HHS' Office of Inspector General's ability to exclude individuals from participating in federal healthcare programs, according to a Bloomberg report.  By Ayla Ellison -

Feds sue major SC physician practice for bilking $9M from Medicare

The U.S. Justice Department has filed a civil fraud suit against Columbia-based Family Medicine Centers of South Carolina, one of the state's largest primary care physician groups, alleging the practice illegally hiked up medical bills by adding unnecessary charges for patient visits, according to The State.  By Tamara Rosin -

Bipartisan legislation targets socioeconomic factors linked to readmissions

Rep. Pat Tiberi, a Republican from Ohio, and Rep. Jim McDermott, a Democrat from Washington, introduced new legislation this week to allow Medicare to adjust its readmission program for patients' socioeconomic status and to delay CMS' ability to terminate Medicare Advantage contracts for failing to meet minimum quality ratings.  By Shannon Barnet -

Former Stanford Medicine employee pleads no contest to sexually abusing patients

A former employee of Stanford Medicine Surgery Center in Redwood City, Calif., pleaded no contest May 16 to charges of sexually battering male patients while they were under anesthesia, according to Mercury News. By Tamara Rosin -

FBI launches search for physician convicted on drug, conspiracy charges

The FBI's Idaho agency Thursday announced a search for a physician who failed to show up for a verdict in a case in which he was convicted of 66 drug distribution and conspiracy charges, according to NWCN news.  By Emily Rappleye -

Hospitals claim the ACA demands mergers: Are judges warming up to the argument?

Judges have largely dismissed the argument that hospitals need to merge to meet the demands of the Affordable Care Act, but a Pennsylvania judge recently accepted the "Obamacare-made-me-do-it" defense, according to the National Law Review.  By Ayla Ellison -

Top 40 Articles from the Past 6 Months