7 recent healthcare industry lawsuits, settlements

The following is a roundup of recently reported healthcare industry lawsuits, lawsuit updates and settlements, beginning with the most recent.

1. EmblemHealth subsidiary to establish $3.5M fund for violating out of network disclosure requirements
New York-based Group Health Incorporated, a subsidiary of EmblemHealth, agreed to establish a $3.5 million consumer assistance fund to provide financial relief to members for its violations of out of network disclosure requirements.

2. Universal Health Services to pay $65M over allegations it misled investors
King of Prussia, Pa.-based Universal Health Services agreed to pay $65 million to resolve a 2009 shareholder class-action lawsuit against Psychiatric Solutions — a UHA subsidiary —  over allegedly misleading investors by failing to disclose information about violence at one of its psychiatric hospitals.legal settlement

3. Highmark sues UPMC over cancer treatment billing practices
Highmark, the largest insurer in Pennsylvania, filed a lawsuit against Pittsburgh-based UPMC in the Allegheny County Court of Common Pleas alleging UPMC overbilled the health insurer by $300 million for oncology services.

4. $750M fraud scheme leads to prison sentences for former ArthroCare execs
Two former ArthroCare executives received prison sentences for their involvement in a $750 million securities fraud scheme.

5. CFO of Compass Healthcare pleads guilty to fraud scheme
Daniel K. Lane, Jr., the vice president and CFO of St. Louis-based Compass Healthcare — a durable medical equipment business — pleaded guilty to conspiring to commit healthcare fraud.

6. Prime Healthcare clashes with SEIU, other unions in lawsuit
Ontario, Calif.-based Prime Healthcare Services filed a federal lawsuit against several employee unions, alleging the unions are using extortionist tactics to prevent it from purchasing Los Altos Hills, Calif.-based Daughters of Charity Health System.

7. Class-action lawsuit filed over slow Medicare appeals process 
The Center for Medicare Advocacy filed a lawsuit on behalf of five Medicare beneficiaries who allegedly had to wait longer than the 90-day statutory limit to resolve appeals over Medicare claims denials.

More articles on legal disputes in the healthcare:

Medical malpractice payouts over $1M are largely caused by wrong diagnosis
Applying the FCA to conduct under the Medicare Part D program
10 largest False Claims, Stark Law and Anti-Kickback settlements of 2014

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