Livonia, Mich.-based Trinity Health, Davenport, Iowa-based Genesis Health System and Mercy Health Network have agreed to pay more than $4.64 million to resolve allegations that Genesis overbilled the federal government for its use of the Impella heart pump device. The…
Legal & Regulatory Issues
The House Ways and Means Committee passed the “Tax Exempt Hospital Transparency Act” on July 1, advancing legislation that would require nonprofit hospitals to disclose more details on their IRS Form 990. The bill, known as HR 9504, has drawn…
Northern Louisiana Medical Center, a 130-bed hospital in Ruston, La., could lose its Medicare participation status Aug. 30 if it fails to address deficiencies reported by hospital surveyors. A June 1 survey cited 24 deficiencies, according to a CMS report…
Democratic governors and attorneys general from 25 states and Washington, D.C., sued the Trump administration June 29 over CMS’ interim final rule implementing Medicaid work requirements. Eight things to know: 1. The 74-page lawsuit, filed in U.S. District Court for…
A Minnesota state court judge has ordered the dispute between the city of Fosston and Duluth, Minn.-based Essentia Health to proceed through arbitration, which will decide whether the city can terminate a 2009 affiliation agreement that gives Essentia operational control…
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Mike Sarian, founder and majority owner of multiple hospital companies spanning more than a dozen hospitals across several states, is facing a widening series of lawsuits alleging he diverted millions of dollars from hospital operating accounts, shifted funds among facilities…
The Supreme Court refused to hear a challenge from New York healthcare workers who lost their jobs after the state stripped religious exemptions from its COVID-19 vaccine mandate, leaving in place a lower-court ruling against them. The case, Doe v.…
Patrick Alan Bucknum, 55, former CEO of Community Clinic Network in Wenatchee, Wash., pleaded guilty June 24 to one count of wire fraud, according to a Justice Department news release. Prosecutors allege Mr. Bucknum began embezzling funds from CCN’s business…
From the Justice Department charging 455 defendants as part of its 2026 National Healthcare Fraud Takedown to an Oklahoma hospital CEO pleading guilty to $30 million in Medicare fraud, here are 10 healthcare billing fraud cases Becker’s reported since June…
Elevance Health paid CMS $342 million following a Medicare Advantage sanction notice alleging the insurer did not properly address overpayments for years. June 22 filings in a New York federal court included an email from an Elevance vice president to…