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Sutter Health faces challenge on $400M antitrust win
Sacramento, Calif.-based Sutter Health may be facing an uphill battle after an appeals court judge questioned the legitimacy of a recent $400 million win in an antitrust suit, according to an Aug. 24 Law360 report. -
Michigan physician to pay $6.5M to settle Medicare, Medicaid fraud allegations
A Michigan pain management specialist will pay $6.5 million to settle allegations he billed Medicare and Medicaid for medically unnecessary services. -
UMass Chan legal bills soar to $7.2M due to litigation battle with hospital
University of Massachusetts Chan Medical School's legal expenses have reached $7.2 million due to its ongoing litigation with Worcester-based UMass Memorial Health over a dispute about money, Mass Live reported Aug. 24. -
Decision to end billing practice won't change Allina investigation, AG says
Minnesota Attorney General Keith Ellison said he is glad Minneapolis-based Allina Health is ending a billing and collection policy under scrutiny from his office but said the health system's decision does not change the status of the investigation. -
10 recent healthcare industry lawsuits, settlements
From HCA settling a nonpayment lawsuit, to a New York judge permanently blocking New York City's plans switch 250,000 retired city employees to a Medicare Advantage plan, here are 10 healthcare industry lawsuits and settlements Becker's reported since Aug. 14: -
Florida man pleads guilty in $3.6M fraud scheme
Orlando, Fla., resident Patrick Fitchner pleaded guilty in New Jersey federal court to his role in a $3.6 million durable medical equipment kickback scheme. -
Physician sentenced to prison for unlawfully prescribing 100k pills
A South Carolina physician was sentenced to five years in prison for unlawfully prescribing a couple more than 100,000 pills of controlled substances. -
Judge: Pennsylvania physician group can't enforce surgeon's noncompete clause
A Pennsylvania judge ruled that Scranton-based Commonwealth Health's physician group cannot stop a former surgeon from working for a local competitor, The Times-Tribune reported Aug. 21. -
Former pharmacy president pleads guilty to role in $32M Medicare fraud scheme
A former president of a pharmacy business pleaded guilty to his role in a scheme to charge Medicare and Tricare for expensive prescriptions obtained through kickbacks. -
All 50 states now allow collaborative pharmacy work
Every state in the U.S. now recognizes collaborative practice agreements between pharmacists and physicians. -
Lab owner sentenced to prison for role in $463M fraud scheme
A Georgia laboratory owner was sentenced to 27 years in prison for his role in a scheme that submitted more than $463 million in fraudulent claims to Medicare. -
Mayo Clinic still under investigation as another system enters Minnesota AG's crosshairs
The Minnesota attorney general's office has launched an investigation into the billing practices of Minneapolis-based Allina Health, joining an investigation launched late last year into Rochester-based Mayo Clinic's practices. -
Former respiratory therapist sentenced in death of 2 patients
A former respiratory therapist who pleaded guilty in the deaths of two Missouri hospital patients in the early 2000s has been sentenced to 18 years in prison, CBS affiliate KCTV reported Aug. 19. -
Allina Health faces Minnesota AG investigation
The Minnesota attorney general is launching an investigation into the billing practices of Minneapolis-based Allina Health following a New York Times article about the nonprofit system. -
Behavioral health program administrator convicted of fraud
The program administrator for a behavioral health company was convicted of charges related to a Medicaid billing fraud scheme. -
Maine healthcare workers take vaccine mandate fight to Supreme Court
A group of Maine healthcare workers is asking the U.S. Supreme Court to review its case regarding the state's COVID-19 shot mandate. -
Louisiana medical equipment company owner pleads guilty to $11.4 million Medicare, Medicaid fraud
A Louisiana medical equipment company owner pleaded guilty to billing over $11 million in false claims to Medicare and Medicaid for medically unnecessary devices. -
Florida medical equipment company owner sentenced in $11M Medicare medical equipment fraud scheme
A Florida resident was sentenced to five years in prison for his role in an $11 million scheme to defraud Medicare by supplying fraudulent orders for durable medical equipment. -
Federal appeals court rules in favor of PBMs in Oklahoma case
The U.S. Court of Appeals for the 10th Circuit issued a ruling Aug. 15 upending parts of an Oklahoma law that was created to help smaller pharmacies gain customers, The Oklahoman reported Aug. 17. -
Hospitals stay mum on Florida's immigration status law
Many health experts and clinicians have voiced concerns about the potential harms of a new Florida law that requires hospitals to ask patients about their immigration status, though hospital leaders in the state have stayed quieter on the issue, KFF Health News reported Aug. 17.
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