The Justice Department has charged 455 defendants, including 90 physicians, nurses and other licensed medical professionals, for allegedly participating in healthcare fraud and opioid abuse schemes. The charges are part of the department’s 2026 National Healthcare Fraud Takedown, which is…
Legal & Regulatory Issues
Indiana’s hospital price cap law is moving ahead, with a report expected to be released that will show the average hospital cost and where each facility falls on the spectrum, KFF Health News reported June 22. The law caps the…
A Pennsylvania bill would create a category of aggravated assault in the state’s criminal code to hold health insurer CEOs liable if a covered person gets an “adverse benefit determination” of a medically necessary benefit that leads to serious bodily…
Luigi Mangione’s defense team has withdrawn its plan to mount a psychiatric defense at his New York state murder trial in the death of UnitedHealthcare CEO Brian Thompson. The reversal came one day after Manhattan Judge Gregory Carro said during…
A federal judge has denied an emergency request by Montgomery, Ala.-based Jackson Hospital, which filed for bankruptcy in February, to force Blue Cross Blue Shield of Alabama to raise its reimbursement rates to match area hospital Baptist Medical Center South. …
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A federal judge has denied The Leapfrog Group’s attempt to reverse a ruling that found its hospital safety grades violated Florida consumer protection law, and separately put a $10.5 million fee dispute on hold, pending appeal. On June 17, U.S.…
The Justice Department filed a lawsuit against New York officials and the company Public Partnerships LLC June 16 over alleged fraud involving Medicaid funds for a $10 billion home care program. PPL is responsible for managing caregivers in the Consumer Directed Personal…
Luigi Mangione plans to mount a psychiatric defense at his New York state murder trial in the death of UnitedHealthcare CEO Brian Thompson, the judge presiding over the case said during a June 17 hearing, according to NBC News. Manhattan…
Portland-based Oregon Health & Science University has sued Oregon Public Broadcasting to block a Multnomah County District Attorney’s Office order requiring the release of records related to former OHSU Health CEO Tarek Salaway’s termination, according to a June 16 court…
Columbus, Ohio-based OhioHealth reached an agreement June 16 with the U.S. Department of Justice and the Ohio Attorney General to end a civil antitrust lawsuit that alleged the health system used anticompetitive contract provisions to drive up healthcare costs for…