• 3 patient groups sue US over drug copay assistance rule

    Three patient advocacy groups are suing the U.S. government to challenge the legality of a federal rule that allows health insurers to not apply drugmakers' copay assistance toward patients' out-of-pocket cost obligations. 
  • Philips settles for $4.2M in devices sold to military

    Medical manufacturer Philips agreed to settle for $4.2 million in a civil lawsuit with the U.S. military Aug. 30, according to the Justice Department. 
  • Violating EMTALA, state abortion bans: What's at stake for physicians, hospitals

    HHS aimed to add some clarity to the nation's shifting abortion landscape in July when it issued guidance to hospitals underscoring that abortion is covered under a 36-year-old federal law requiring Medicare hospitals to provide all patients appropriate emergency care. The law has since become the center of legal disputes over abortion in Idaho and Texas. 
  • A 3-pronged approach to effective denials management

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    Hospitals are taking a more holistic approach to denials management that offers huge financial benefits. See the 3-pronged approach here. 
  • Lawsuit accuses Kaiser Permanente medical school of discrimination

    The Pasadena, Calif.-based Kaiser Permanente Bernard J. Tyson School of Medicine is facing accusations of racial discrimination for the second time since opening in summer 2020. 
  • Ascension to pay $19.7M to settle wage suit

    St. Louis-based Ascension Health and one of its hospitals in Florida have agreed to pay $19.7 million to thousands of workers to end wage disputes tied to a ransomware attack against Ultimate Kronos Group, a human resources and management company, that hindered the ability of several health systems to process payrolls, according to Law360.
  • Florida chiropractor gets 4 years in prison for $20M fraud scheme

    Boca Raton, Fla.-based chiropractor Jonathan Rouffe was sentenced to four years in prison for a $20 million scheme that resulted in more than $10 million in payments from both Medicare and the Civilian Health and Medical Program of the Department of Veterans Affairs.
  • Former Alaska hospital executive accused of stealing $108K

    A former executive at Bartlett Regional Hospital in Juneau, Alaska, was arrested Aug. 25 for allegedly stealing $108,000 from the medical facility, according to the Alaska Beacon. 
  • Missouri physician gets 1 year in prison for fraud scheme

    A Missouri physician was sentenced to one year in prison for a healthcare fraud scheme that involved injecting patients with cheaper, unapproved drugs. 
  • Moderna sues Pfizer over COVID-19 vaccine patent

    Moderna filed a lawsuit Aug. 26 accusing Pfizer-BioNTech of using Moderna's patented mRNA technology for COVID-19 vaccines, according to court documents. 
  • Texas man sentenced to prison for threats to physician who advocated for vaccine

    A Texas man has been sentenced to prison for threatening a Maryland physician who had supported the COVID-19 vaccine, the U.S. Justice Department said Aug. 24.
  • CHS faces class-action fraud suit

    A federal court judge has refused to dismiss a securities fraud class-action lawsuit against Franklin, Tenn.-based Community Health Systems, according to Bloomberg Law. 
  • EMTALA covers abortion in Idaho hospitals, judge rules

    A federal judge temporarily blocked a portion of an Idaho law that would criminalize medical professionals who performed abortions in medical emergencies. 
  • Kentucky nurse accused of killing patient worked at another hospital until arrest

    A nurse accused of killing a patient at Baptist Health Lexington (Ky.) by intentional "medical maltreatment" worked at another hospital until she was arrested, according to WKYT. 
  • Texas health system fights request for records on president's abrupt exit

    The University of Texas System is fighting a request filed by a local newspaper to obtain more information about the abrupt resignation of Ben Raimer, MD, from the role of president of the University of Texas Medical Branch.
  • Healthcare billing fraud: 7 recent cases

    From a California health plan and three providers agreeing to pay $70.7 million, to a former anesthesiologist sentenced to 10 years in prison, here are seven healthcare billing fraud cases Becker's has covered since Aug. 12: 
  • Secret deal to change California earthquake requirements unravels

    A secret deal between a group of California hospitals that sought to weaken seismic upgrades at medical centers and a major union collapsed on Aug. 23, days after it was made public, according to a report in the Los Angeles Times.
  • Abortions not covered by EMTALA in Texas hospitals, judge rules

    A federal judge in Texas backed the state's attorney general Aug. 23 by preliminarily halting HHS guidance, which stated that federal law requires hospitals funded by Medicare to treat patients with appropriate medical emergency care, including abortions when medically necessary, and overrides state laws banning abortions. 
  • Kentucky nurse charged with murder in death of patient

    A nurse was charged with murder Aug. 23 for allegedly causing the death of a 97-year-old patient at Baptist Health Lexington (Ky.), the Lexington Police Department said in a statement. 
  • Ascension pediatrician fired over vaccination mandate denied reinstatement

    A pediatrician at Indianapolis-based Ascension St. Vincent Hospital who was fired after failing to comply with his employer's COVID-19 vaccination requirement will not be granted immediate reinstatement, the Society for Human Resource Management reported Aug. 22. 
  • Former Wichita chiropractors accused in $3.7M healthcare fraud scheme

    A federal grand jury in Wichita (Kan.) returned an indictment on Aug. 19 charging two Kansas men with engaging in a healthcare fraud scheme, which resulted in more than $3.7 million in payments from Medicare and Tricare over three years.

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