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Former Georgia insurance commissioner indicted on fraud conspiracy charge
A former Georgia insurance commissioner is facing federal conspiracy charges related to an alleged healthcare fraud scheme, Fox affiliate WAGA reported May 20. -
Diagnostic facility to pay $3.15M to resolve fraud accusations
A Miami-based independent diagnostic testing facility has agreed to pay $3.15 million to resolve allegations it submitted false reimbursement claims to Medicare. -
Hospitals urge Justice Department to probe insurers over routine denials
The American Hospital Association, on behalf of its nearly 5,000 healthcare organizations, is urging the Justice Department to probe routine denials from commercial health insurance companies. -
Medical device manufacturer accused of potentially exposing Medicare patients to infections
A New Hampshire-based medical device manufacturer and its owner are accused of violating the False Claims Act by encouraging providers to improperly reuse single-user rectal sensors and single-use catheters on multiple patients. -
Florida pharmacy owner sentenced for $174M fraud scheme
A Florida pharmacy owner was sentenced to 14 years in prison over his role in a $174 million fraud scheme, the Justice Department said May 18. -
Mayo Clinic may face 100+ lawsuits over vaccine mandate
Rochester, Minn.-based Mayo Clinic could face a slew of lawsuits from employees alleging they were wrongly fired for refusing COVID-19 vaccines, the Post Bulletin reported May 18. -
U of Maryland provider pays nearly $300K to settle false claims allegations
University of Maryland Shore Regional Health is paying $300,000 to settle charges that it submitted false claims to Medicaid for radiation therapy and diagnostic services. -
California physician accused of issuing fake COVID-19 vaccination cards, injecting patients with plasma
A California physician faces multiple charges over allegations he issued fake COVID-19 vaccination cards and injected some of his patients with blood plasma he received from donors. -
Judge strikes down California law mandating women on boards
A California law requiring women to be placed on company boards has been struck down by a state judge, reported The Wall Street Journal May 16. -
6 recent hospital lawsuits, settlements
From an Oklahoma hospital resolving false claims allegations to a Tennessee health system facing a retaliation lawsuit, here are the latest hospital lawsuits and settlements making headlines. -
Oklahoma hospital pays $1.1M to settle false claims allegations
An Oklahoma City-based hospital agreed to pay more than $1.1 million to settle allegations that it submitted false claims to Medicare. -
Viewpoint: FTC will be healthcare's biggest headache until 2025
With the Senate's confirmation of Alvaro Bedoya to the Federal Trade Commission on May 11, Democrats now have a 3-2 majority in the FTC, which will likely lead to heightened scrutiny of competition in healthcare, Paul Keckley, PhD, wrote May 16 in The Keckley Report. -
Health equity through an ACO lens: What organizations delivering value-based care need to know
The world of value-based care (VBC) is placing an increased focus on health equity goals. -
Drugmakers, PBMs conspired to inflate insulin costs, Arkansas lawsuit claims
Arkansas' attorney general filed a lawsuit May 11 alleging that drug manufacturers and pharmacy benefit managers conspired to artificially drive up the cost of insulin. -
'Evil empire' UnitedHealth schemes to underpay providers, Envision suit alleges
Nashville, Tenn.-based Envision Healthcare is suing UnitedHealth Group, accusing the payer of scheming to underpay front-line healthcare providers and push organizations out of network. -
Idaho health system files lawsuit over 'smear campaign,' protest after infant's treatment
Boise, Idaho-based St. Luke's Health System filed a lawsuit May 11 related to a March protest over an infant's care that prompted a hospital lockdown. -
Florida PT clinic owners, physician sentenced for $17M billing fraud
Three Florida physical therapy clinic owners and a physician were among those sentenced May 10 for their roles in a $17 million medical billing fraud scheme. -
UnitedHealthcare lawsuit against TeamHealth can proceed, judge rules
UnitedHealthcare's case against TeamHealth can proceed after a federal judge in Eastern Tennessee denied the hospital staffing company's motion to dismiss the lawsuit. -
Maine hospital must pay $181K to psychologist for unequal pay, judge rules
Northern Light Acadia Hospital in Bangor, Maine, owes a psychologist nearly $181,000 in back pay, damages and interest related to her claim of gender-based pay discrimination in violation of the state's equal pay law, according to the Bangor Daily News. -
Arizona telemedicine owners plead guilty to $64M fraud, kickback scheme
Two owners of a nationwide telemedicine company pleaded guilty May 10 to their roles in a $64 million healthcare fraud and kickback scheme.
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