1. Oregon insurer sues, says 3 health systems have locked it out of Portland market
Trillium Community Health Plan filed a federal antitrust suit against three of the largest hospital systems in Portland, Ore., claiming they colluded to block the insurer from operating in the area.
2. Insurance executive gets prison time for defrauding Pennsylvania hospitals
A Chicago insurance executive was sentenced to more than four years in prison Oct. 22 after pleading guilty to one count of wire fraud in federal court last year.
3. Ex-chief of staff’s lawsuit delays $361M Kentucky hospital sale
Louisville, Ky.-based Baptist Health’s acquisition of Hardin Memorial Hospital in Elizabethtown, Ky., will likely be delayed by months due to litigation.
4. Federal judge backs hospitals in decision on site-neutral pay cuts
A Washington, D.C., federal judge on Oct. 21 denied CMS’ requests to modify and stay a previous court ruling on site-neutral pay cuts.
5. Humana sues 37 generic drugmakers
Humana filed a lawsuit Oct. 18 accusing 37 pharmaceutical companies of partaking in a conspiracy to increase generic drug prices.
6. 4 states, 5 drug companies agree to $48B opioid settlement
Four states agreed Oct. 21 on a framework for a $48 billion settlement with five drug companies over their alleged role in fueling the opioid crisis.
7. Judge: Feds owe $1.6B to 100+ insurers
More than 100 health insurers represented in a class-action lawsuit against the federal government should get $1.6 billion in ACA payments, a judge said.
8. UnitedHealth drops appeal of Supreme Court decision on alleged overpayments
UnitedHealth Group dropped an appeal asking the Supreme Court to uphold a controversial billing tactic.
More articles on legal and regulatory issues:
Arizona physician arrested for allegedly pointing gun at protestors
California physician convicted in $12M Medicare scam
Sutter Health reaches surprise settlement in antitrust case
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