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4 recent provider self-disclosed fraud settlements
Four providers settled self-reported fraud claims in May, according to the HHS Office of the Inspector General: -
Orlando Health sues healthcare-sharing ministry
Orlando Health filed a federal lawsuit June 9 against Liberty HealthShare, accusing the healthcare-sharing ministry of trying to get free services it should have paid for and disputing claims without providing details. -
Healthcare billing fraud: 9 recent cases
From a former Kentucky lawmaker who plead guilty to charges in connection to a $2.7 million fraudulent billing scheme, to a Florida medical biller sentenced to more than five years in prison, here are nine recent healthcare billing fraud cases: -
Supreme Court's Medicaid clawback ruling could mean less money for state programs, critics say
Critics of a June 6 U.S. Supreme Court ruling involving Medicaid clawbacks from personal injury litigation wins say the decision could result in less money for state Medicaid programs, Bloomberg reported June 10. -
Steward to pay $4.7M to settle kickback allegations
Dallas-based Steward Health Care has agreed to pay $4.7 million to resolve kickback allegations. -
FTC looks to restrict use of noncompetes
The Federal Trade Commission is considering a new regulation to tighten employers' use of noncompete clauses and plans to target the use of noncompete clauses in individual cases through enforcement, The Wall Street Journal reports. -
Pharmaceutical company to pay $12.9M to settle Texas Medicaid fraud claim
An India-based multinational pharmaceutical manufacturer has agreed to pay $12.9 million to settle claims it reported inflated prices to the Texas Medicaid program, the Texas attorney general said June 8. -
Senate bill pushes transparency in travel nursing business
U.S. Sen. Kevin Cramer, R-N.D., has introduced the Travel Nursing Agency Transparency Study Act, which would require the Government Accountability Office to study and report to Congress the business practices of healthcare staffing agencies during the pandemic. -
The status of 8 No Surprises Act lawsuits
Eight lawsuits have been filed challenging the No Surprises Act since December, Health Affairs reported June 6. -
Teladoc lawsuit claims company 'misled' investors
Teladoc is facing a lawsuit alleging the company misled investors regarding its business, operations and future prospects that will result in "significant losses and damages" for stakeholders. -
HCA hit with antitrust case, accused of driving up prices
HCA Healthcare, a for-profit hospital operator based in Nashville, Tenn., is facing another antitrust lawsuit. -
Shooter in 2021 attack on Allina Health clinic found guilty of all 11 charges
Gregory Ulrich, who shot and killed one person and injured four others at an Allina Health clinic in 2021, was found convicted of all 11 counts against him June 2, according to the Star Tribune. -
Illinois diagnostics company to pay $3.5M to settle fraud accusations
An Illinois diagnostic company that provides home sleep testing services has agreed to pay $3.5 million to settle claims that it defrauded Medicare and other federal healthcare programs through kickbacks and unnecessary testing. -
State Medicaid programs can recoup more money from personal injury settlements, Supreme Court rules
The U.S. The Supreme Court ruled that states can seek reimbursements for future medical care from Medicaid beneficiaries who win money in personal injury litigation, Bloomberg reported June 6. -
California bill would designate COVID-19 misinformation spread from medical board members as misconduct
The California legislature has voted to approve a bill that designates the spread of misinformation regarding COVID-19 by a member of its medical board an act of misconduct. -
Georgia outpatient facility ordered to pay $9.6M for submitting hundreds of false claims
A federal judge in Georgia June 2 ordered an outpatient facility to pay more than $9.6 million for submitting hundreds of fraudulent claims to Medicaid and Tricare. -
Florida medical biller gets 5 years in prison for Medicaid fraud
A Florida medical biller who admitted to billing Medicaid for services that were not rendered was sentenced to five years and five months in prison and ordered to forfeit more than $2.2 million. -
East Tennessee Children's Hospital faces lawsuit after data breach
Knoxville-based East Tennessee Children's Hospital is facing a lawsuit after a number of patients' personal health information was exposed in a March 2022 data breach, 10News reported June 2. -
Healthcare providers challenge Florida abortion ban
A group of healthcare providers in Florida filed a lawsuit June 1 to block the state's new abortion ban, according to The Hill. -
Philadelphia hospital faces lawsuit after nursing assistant fatally shot by coworker
The family of a nursing assistant killed by a co-worker in October at Thomas Jefferson University Hospital has filed a lawsuit against the hospital alleging wrongful death and negligence.
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