A former Georgia insurance commissioner is facing federal conspiracy charges related to an alleged healthcare fraud scheme, Fox affiliate WAGA reported May 20. 

A Miami-based independent diagnostic testing facility has agreed to pay $3.15 million to resolve allegations it submitted false reimbursement claims to Medicare. 

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. 

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.

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.

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.

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. 

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.

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. 

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. 

An Oklahoma City-based hospital agreed to pay more than $1.1 million to settle allegations that it submitted false claims to Medicare. 

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.

The world of value-based care (VBC) is placing an increased focus on health equity goals.

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.  

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. 

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.

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's case against TeamHealth can proceed after a federal  judge in Eastern Tennessee denied the hospital staffing company's motion to dismiss the lawsuit. 

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.

Two owners of a nationwide telemedicine company pleaded guilty May 10 to their roles in a $64 million healthcare fraud and kickback scheme.