13 latest healthcare industry lawsuits, settlements

From a North Carolina health system settling antitrust allegations to the former revenue cycle director of a Delaware hospital sentenced to prison for embezzlement, here are the latest healthcare industry lawsuits and settlements making headlines.

1. CHS settles lawsuit against ex-CEO of Indiana hospital
Fort Wayne, Ind.-based Lutheran Health Network and its parent company Franklin, Tenn.-based Community Health Systems settled their lawsuit against LHN's former CEO.

2. CMS appeals ruling on Medicare Advantage overpayments: 4 things to know
On Nov. 6, CMS filed an appeal to a September judgment that overturned a 2014 overpayment rule for Medicare Advantage plans.

3. Atrium settles antitrust lawsuit over health plan contracts: 6 things to know
Charlotte, N.C.-based Atrium Health agreed to a settlement with the Department of Justice that prohibits the health system from enforcing anticompetitive steering restrictions in contracts between payers and its providers.

4. Ex-revenue cycle director gets prison time for embezzling from Delaware hospital
Hope Abram, a former revenue cycle director at Lewes, Del.-based Beebe Healthcare, was sentenced to prison for embezzling more than $100,000 from Beebe Healthcare.

5. Nevada hospital to pay $820K for discovery violations in class-action wage dispute
A Nevada federal judge ordered Las Vegas-based University Medical Center to pay nearly $820,000 in sanctions for destroying evidence and discovery violations in a class-action employee wages lawsuit. 

6. Financial analyst steals $46K from West Virginia hospital
A former financial analyst for Pleasant Valley Hospital in Point Pleasant, W.Va., faces up to 10 years in prison after pleading guilty to embezzling more than $46,000 from the hospital.

7. Oscar Health sues Florida Blue over 'monopolistic' insurance broker policy
Health insurance startup Oscar Health filed a lawsuit against Florida Blue accusing the company of inking exclusive policy agreements with brokers to steer individuals toward Florida Blue plans only.

8. Ex-exec of Cleveland Clinic spinoff admits to defrauding system
A former Cleveland Clinic spinoff executive on Nov. 16 pleaded guilty to charges of conspiracy, wire fraud and making false statements in an attempt to defraud the health system.

9. Judge refuses to release hospital management company CEO's money amid investigation
A judge in California said the former administrator of Tulare (Calif.) Regional Medical Center will have to wait until 2019 to know what will happen to cash and property seized during an investigation into his management of the hospital.

10. Fired California hospital employee awarded $3.2M in discrimination suit
A jury awarded $3.2 million in damages to a former warehouse employee at Loma Linda (Calif.) University Medical Center who says he was harassed for years by his supervisors and ultimately fired because of his Islamic beliefs.

11. Former Chilton Medical Center employee charged in computer theft incident
A former IT employee at Chilton Medical Center in Pequannock, N.J., was charged with computer criminal theft for an incident that dates back to January 2015.

12. Former employee alleges New Hampshire hospital fired her for accepting Medicaid patient
A former employee is suing Nashua-based Southern New Hampshire Health, alleging the system's Southern New Hampshire Medical Center fired her for accepting a hospice patient who had Medicaid coverage.

13. Detroit health clinic owner gets 13 years for defrauding Medicare
Jacklyn Price, owner of two Detroit health clinics, was sentenced to 13 years in prison Nov. 15 for her role in an $8.9 million fraud scheme involving Medicare claims.  

More articles on legal and regulatory issues:

CEO of Louisiana hospital's fundraising arm fired after embezzlement probe
FTC: Florida company made $100M selling fake insurance
AHA will sue to stop CMS' site-neutral payment policy

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