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Outcome Health CEO, CFO sentenced for roles in $1B fraud scheme
Rishi Shah, co-founder and former CEO of healthcare technology startup Outcome Health, has been sentenced to seven and a half years in prison for his role in a scheme involving about $1 billion in fraudulently obtained funds, the Chicago Tribune reported June 26. -
Optum to pay $20M to settle improper prescription allegations
OptumRx will pay $20 million to settle allegations it improperly dispensed some opioid medications, the Justice Department said June 27. -
How the Supreme Court's Chevron deference ruling could affect healthcare
The Supreme Court in a 6-3 ruling overturned a 40-year-old legal precedent known as Chevron deference, the Washington Post reported June 28. -
Justice Department charges nearly 200 for $2.8B healthcare fraud schemes
The Justice Department has filed criminal charges against 193 defendants for their alleged participation in healthcare fraud schemes that involved around $2.75 billion in intended losses and $1.6 billion in actual losses. -
Home health company settles fraud allegations
Home health company VNS Health has agreed to pay nearly $1 million to settle allegations that it fraudulently billed Medicaid for Assertive Community Treatment Services that it failed to provide or document. -
64 drugs getting temporary price cuts
Beginning July 1, the cost of 64 prescription drugs will be reduced through Medicare Part B for some enrollees, the Biden administration announced June 26. -
Health plans accuse Hartford HealthCare of monopoly, price fixing
Two health plans filed a proposed class action lawsuit against Hartford (Conn.) HealthCare June 14, alleging unlawful monopolization and price fixing. The health plans allege Hartford's dominance in the area allowed the system to inflate prices. -
Supreme Court allows emergency abortions in Idaho: Report
The Supreme Court officially ruled in favor of permitting emergency abortions in Idaho to protect maternal health June 27, after a document leaked momentarily the day prior giving a public preview of the decision. -
10 recent healthcare industry lawsuits, settlements
From Arkansas' attorney general filing a lawsuit against Optum Rx and Express Scripts to Sutter Health beating a whistleblower's double-billing allegations, here are 10 recent healthcare industry lawsuits, settlements and legal developments Becker's has reported since June 17: -
2 pharmacy owners sentenced in $18M money laundering case
Two former owners of New York pharmacies who pleaded guilty to an $18 million healthcare fraud scheme were sentenced to 14 collective years in prison. -
Hospice owner sentenced to 6 years in prison for fraud
The former owner of a hospice care company was sentenced to 72 months in prison and ordered to pay more than $3.6 million in restitution for her role in a healthcare fraud scheme. -
Baylor St. Luke's to pay $15M to settle concurrent heart surgery allegations
Houston-based Baylor St. Luke's Medical Center, Baylor College of Medicine and Surgical Associates of Texas have jointly agreed to pay $15 million to resolve claims they billed for concurrent heart surgeries that violated CMS teaching physician and informed consent regulations. -
Massachusetts lawmakers seek to ban REITs from owning hospitals
Massachusetts lawmakers are taking aim at real estate investment trusts amid Dallas-based Steward Health Care's ongoing financial troubles. -
Arkansas AG sues Optum, Express Scripts over alleged role in opioid epidemic
Arkansas Attorney General Tim Griffin filed a lawsuit June 24 against pharmacy benefit managers Optum Rx and Express Scripts for their alleged role in enabling the opioid epidemic in the state. -
Maine physician faces up to 300 years in prison for overprescribing opioids
A Maine physician was found guilty on 15 counts of unlawfully distributing controlled substances. -
Supreme Court to review Tennessee's gender-affirming care ban
The Supreme Court has agreed to assess the constitutionality of Tennessee's ban on gender-affirming care for people younger than 18, The Washington Post reported June 24. -
Sutter Health beats $519M double-billing allegations
Sacramento, Calif.-based Sutter Health beat a whistleblower's lawsuit alleging that the health system owed $519 million for double-billing expensive operating room services without documentation, Law360 reported June 20. -
Chicago healthcare company settles upcoding allegations
A Chicago-based healthcare company and its former owners agreed to pay $2 million to settle allegations that it submitted false claims to Medicare and Medicaid. -
Medical device CEO sentenced to 6 years for 'dummy' products
The CEO of medical device company Stimwave on June 17 was sentenced to six years in prison for helping create and sell fake components for chronic pain devices implanted in patients. -
Texas physician convicted in $70M fraud scheme
A physician from Fredericksburg, Texas, was convicted by a jury for causing the submission of more than $70 million in fraudulent healthcare claims.
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