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House oversight committee summons top 3 PBMs for hearing
As the House Committee on Oversight and Accountability investigates pharmacy benefit managers regarding alleged anticompetitive practices, the committee scheduled a hearing with leaders of the top three PBMs. -
Police investigate flow of illicit drugs at Oregon hospital
Police are investigating how illicit drugs are reaching patients at Oregon State Hospital after preliminary screenings found at least two patients at the psychiatric facility tested positive for drugs, Oregon Public Broadcasting reported July 16. -
New Mexico investigates hospital for alleged care denial
New Mexico Attorney General Raúl Torrez has launched an investigation into Las Cruces, N.M.-based Memorial Medical Center over alleged essential medical care denial, the state's justice department reported July 16. -
Patient charged in roommate's death at Pennsylvania hospital
A patient at Norristown (Pa.) State Hospital is facing first-degree murder charges after police say he killed his roommate during a July 14 altercation, ABC affiliate WPVI reported July 16. -
Washington hospital group sues state over meal break pay policy
The Washington State Hospital Association is challenging a newly issued administrative policy from the state Department of Labor and Industries related to meal break compensation. -
10 recent healthcare industry lawsuits, settlements
From Centene's board beating a $1.3 billion Medicaid fraud lawsuit, to a Pennsylvania hospital accusing a bed maker of anticompetitive behavior, here are 10 healthcare industry lawsuits, settlements, and legal developments Becker's has reported since July 8: -
Rhode Island AG asks court to hold Prospect in contempt over unpaid bills
Rhode Island Attorney General Peter Neronha has filed a motion in Providence County Superior Court to hold Los Angeles-based Prospect Medical Holdings in contempt for a refusal to comply with a court order to pay $17 million in unpaid bills to hospital vendors. -
California hospital fined 8 years after patient death
Paradise Valley Hospital in National City, Calif., was recently fined $75,000 for inadequate obstetric care that led to an infant's death in 2016, The San Diego Union Tribune reported July 15. -
Medical marketer ordered to pay $59M for role in fraud scheme
A medical marketer was sentenced to two years and five months in prison and ordered to pay more than $59 million in restitution for his role in a scheme that defrauded Tricare and other federal healthcare programs. -
Few changes seen after Maine upgrades penalties for assaulting ED staff: Case study
A Maine law that increases charges for assaults on medical and nonmedical staff while providing emergency medical care appears to have done very little, Portland Press Herald reported July 14. -
Former Chicago hospital CFO among 3 charged in alleged $15M fraud scheme
The former CFO of Loretto Hospital in Chicago is among three individuals charged in an indictment alleging involvement in a $15 million embezzlement scheme. -
Man arrested after firing gun in Missouri hospital
Police have arrested a man who allegedly fired a gun inside St. Luke's Hospital in Kansas City, Mo., local authorities confirmed to Becker's. -
Former Georgia insurance commissioner sentenced to 3 years in prison for healthcare fraud
A former Georgia insurance commissioner was sentenced to 3.5 years in prison for conspiracy to commit healthcare fraud, the Justice Department said July 12. -
Lurie Children's Hospital hit with lawsuit over data breach of 792,000
Ann & Robert H. Lurie Children’s Hospital in Chicago has been hit with a federal class action lawsuit over a data breach that affected 792,000 patients. The lawsuit also alleges that the hospital waited almost five months to inform individuals their information had been compromised, according to court documents. -
3 labs to pay $2.45M to settle code manipulation allegations
Three laboratories have agreed to pay $2.45 million to resolve allegations they submitted claims containing manipulated diagnosis codes to Medicare and Medicaid. -
California lab settles billing fraud allegations
A California-based laboratory has agreed to pay $1 million to resolve allegations that it double-billed Medicare for urine drug testing. -
Why Hackensack Meridian acted quickly in post-Chevron landscape
Edison, N.J.-based Hackensack Meridian Health took immediate advantage of the Supreme Court's ruling to overturn Chevron deference. -
Steward hit with federal investigation over alleged fraud, corruption
Financially troubled Dallas-based Steward Health Care is under criminal investigation by federal prosecutors at the U.S. Attorney's office in Boston, CBS News reported July 11. -
Skilled nursing facility operator pays $21.3M to settle fraud allegations
Strauss Ventures, doing business as Grand Healthcare System, and 12 skilled nursing facilities will pay $21.3 million to settle allegations they billed federal healthcare programs for services that were unreasonable, unnecessary, unskilled or that did not occur as billed. -
State review delays Mount Sinai Beth Israel planned closure
In a decision that came down to the wire, New York City-based Mount Sinai's Beth Israel hospital will not close July 12 as initially planned. Along with legal challenges, the health system is waiting on the New York State Department of Health's approval for its revised closure plan.
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