• UnitedHealth, CVS, Cigna to face FTC lawsuit over PBM practices: WSJ

    The Federal Trade Commission is preparing to sue UnitedHealth Group, CVS Health and the Cigna Group over their pharmaceutical benefit managers' business practices, The Wall Street Journal reported July 10. 
  • Healthcare billing fraud: 10 recent cases

    From a Montana physician pleading guilty to participating in a $39 million scheme to the Justice Department filing charges against nearly 200 people for $2.8 billion in fraud schemes, here are 10 healthcare billing fraud cases Becker's has reported since June 20:
  • Former New York hospital exec charged with $1.5M in credit card fraud

    Michael Lucchesi, MD, former chairman of emergency medicine and chief medical officer at SUNY Downstate Medical Center in the Brooklyn borough of New York City, has been charged with using a business card for nearly $1.5 million in personal purchases and cash advances.
  • Tips on strengthening vendor risk management for healthcare compliance

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  • Rhode Island blocks 'white bagging'

    Beginning Jan. 1, health insurers will be required to cover clinician-administered medications, or outpatient infusion therapies, for Rhode Island residents. 
  • Drugmakers sue Kansas over 340B law

    A Kansas law compels drugmakers to extend 340B program discounts to contract pharmacies. In early July, AstraZeneca and AbbVie filed lawsuits against the legislation, according to court documents obtained by Becker's. 
  • Tower Health hospital sues Hill-Rom, alleges 'anticompetitive tactics'

    Reading Hospital in West Reading, Pa., filed a class action lawsuit against Hill-Rom, a hospital bed maker, alleging anticompetitive behavior.
  • Las Vegas business owner sentenced for defrauding hospital

    A Las Vegas business owner was sentenced to 21 months in prison for submitting more than $700,000 in false invoices to a Nevada hospital. 
  • Federal court stalls FTC's noncompete ban

    A federal court in Texas has approved a preliminary injunction against the Federal Trade Commission's sweeping noncompete ban, which, if implemented, would have seismic effects on the healthcare industry and the U.S. economy more broadly.
  • Biden directs hospitals to perform emergency abortions: 4 EMTALA updates

    The Biden administration sent a letter to hospitals July 2, reaffirming they have a "legal duty" under federal law to ensure all patients with emergency medical conditions are offered stabilizing treatment, including abortion when deemed necessary. 
  • 10 recent healthcare industry lawsuits, settlements

    Chevron deference ruling to two health plans filing a proposed class action lawsuit against Hartford HealthCare, here are 10 healthcare industry lawsuits, settlements and legal developments Becker's reported since June 26: 
  • Anesthesiologists sue New York hospital for $21M

    Montefiore St. Luke's Cornwall in Newburgh, N.Y., is facing a $21 million lawsuit filed by an anesthesiologist group that claims the hospital breached an exclusive contract to use the group's physicians for its anesthesia services, the Westfair Business Journal reported July 3. 
  • Feds investigating multiple health systems

    From Franklin, Tenn.-based Community Health Systems to Norfolk, Va.-based Sentara Health, the Justice Department has been busy looking into multiple health systems and healthcare organizations over the last few months. 
  • Former Kentucky hospital nurse charged with patient credit card fraud

    A nurse previously employed by Baptist Hospital East in Louisville, Ky., was arrested July 1 for allegedly using patients' stolen credit cards, according to ABC affiliate WHAS.
  • Illinois physician pleads guilty to fraud

    An Illinois physician has pleaded guilty to billing Medicaid and private insurers for nonexistent services.  
  • DOJ looking into Prospect Medical Holdings, court documents reveal

    The Justice Department issued a civil investigation demand to Los Angeles-based Prospect Medical Holdings on Nov. 3, according to a June 27 court document filed by Prospect.
  • Hackensack Meridian sues HHS secretary in wake of Chevron ruling

    In the wake of the Supreme Court's overturning of Chevron deference, Edison, N.J.-based Hackensack Meridian Health has filed a lawsuit against HHS Secretary Xavier Becerra challenging what the system calls the secretary's "irrational and unlawful interpretation of the statutes he is entrusted to administer." 
  • New hospital price transparency rule goes into effect

    The new CMS price transparency rule went into effect July 1, requiring hospitals to report price information in a standard machine-readable format, according to the American Hospital Association.
  • Tennessee physician sentenced for $4M fraud scheme

    A podiatrist in Memphis, Tenn., was sentenced to four years in prison for a scheme to defraud Medicare and the state's Medicaid program out of nearly $4 million in foot bath medication reimbursements. 
  • Drug researcher charged in $16M case

    A lead researcher for an Alzheimer's drug candidate was indicted June 27 in a case alleging he fabricated data, according to the Justice Department.  
  • Jefferson Health hospital cited for aggressive handling of patient

    In May, surveyors issued Jefferson Health's Abington (Pa.) Hospital an immediate jeopardy warning after determining a security guard used excessive force against a psychiatric patient who had not displayed aggressive behavior, according to an inspection report obtained by The Philadelphia Inquirer. 

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