HHS requested a hold on its appeal of a Texas federal court ruling that voided part of the arbitration process outlined under the No Surprises Act. 

A former vice president of Janesville, Wis.-based Mercyhealth was sentenced to 3 ½ years in prison May 4 for wire fraud and tax evasion in relation to a $3.1 million kickback scheme, according to the U.S Justice Department.

Memphis, Tenn.-based Baptist Memorial Health Care Corp., and its physician group must face a retaliation lawsuit filed by a nurse practitioner who claimed the organization violated the False Claims Act by retaliating against her for raising billing fraud concerns, a Tennessee district court ruled May 2. 

A Michigan physician is banned from submitting claims to Medicare for three years as part of a settlement to resolve allegations of performing unnecessary surgeries and submitting false claims to physicians, according to the Justice Department. 

As we look to the future of healthcare, artificial intelligence (AI) can impact every aspect from care delivery to pharmaceutical operations to organizational operations, and we expect to see rapid advancements in these technologies over the next few years. AI is readily accessible by most businesses and could make great improvements in the healthcare industry in delivering better patient experiences and outcomes while reducing the cost of care, which is aligned with the “Triple Aim”.

Attorneys representing employers and health plan enrollees in a long-running antitrust suit against Sacramento, Calif.-based Sutter Health filed a notice of appeal April 26. 

A federal court in New Jersey ruled that Humana's lawsuit against Celgene can move forward, but must prove its claims that the drugmaker engaged in conduct that led to artificially high prices, Bloomberg reported April 28. 

A former executive at Cerebral claims he was fired in part for raising concerns about prescribing practices at the telepsychiatry company, The Wall Street Journal reported April 29. 

A group of emergency room physicians filed a lawsuit in March alleging representatives for their employer, American Physician Partners, discouraged them from testing for COVID-19 and pressured them to work while ill, according to the Houston Chronicle. 

California healthcare, legal and consumer advocates have agreed on legislation increasing the cap on monetary awards for medical malpractice lawsuits, CalMatters reported April 27. 

A Texarkana, Texas-based air ambulance company is suing HHS and other federal agencies over the No Surprises Act. 

A California physician was sentenced to 93 months in prison April 28 after being convicted of a $12 million Medicare fraud scheme and reusing single-use catheters on patients.   

A former Yale New Haven Health Systems payroll worker admitted April 27 to her role in an embezzlement scheme that defrauded more than $100,000 from the health system. 

From Tenet Healthcare suing the Labor Department's Occupational Safety and Health Administration to hospitals suing HHS over a Medicare billing calculation, here are the latest healthcare industry lawsuits making headlines. 

A New York physician agreed to pay $564,217 to resolve allegations of submitting false claims to Medicare, the Justice Department said April 27. 

Dallas-based Tenet Healthcare has filed a lawsuit to prevent the Labor Department's Occupational Safety and Health Administration from inspecting the Hospitals of Providence Transmountain location in El Paso, Texas, to determine whether workers there are vaccinated against COVID-19 in compliance with CMS' vaccination mandate, Bloomberg Law reported.

A Mississippi pharmacist was sentenced to 10 years in prison over his role in an $180 million fraud scheme, the Justice Department said April 26.

Police have arrested a man in connection to the Jan. 27 attack of an intensive care unit nurse at Ochsner Medical Center-West Bank in Gretna, La., according to nola.com. 

HHS April 22 filed a notice of appeal regarding a Texas federal judge's ruling that sided with providers in a lawsuit over the No Surprises Act. 

The Dutch multinational healthcare conglomerate Royal Philips NV has been issued a subpoena by the Department of Justice regarding a recall of a sleep apnea device, reported The Wall Street Journal April 25.