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Legal & Regulatory Issues

Urgent care center operator Bloom Care has agreed to pay $3 million to settle allegations that it submitted false claims to federal healthcare programs for medically unnecessary testing and inflated the extent of services performed.  What happened? 

Megan Ryan, the former CEO of Nassau University Medical Center in East Meadow, N.Y., plans to file a lawsuit against the hospital’s parent company, alleging wrongful termination. Ms. Ryan filed a notice of claim, with plans to file a full…

A judge has approved $30 million in emergency debt financing for Los Angeles-based Prospect Medical Holdings to avoid service cuts and layoffs at its California and Connecticut hospitals, CT Insider reported July 11. Prospect, which sought Chapter 11 protection in…

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From a CVS subsidiary ordered to pay nearly $950 million in a false claims case to the Supreme Court upholding the ACA’s preventive coverage mandate, here are 12 healthcare industry lawsuits, settlements and legal developments that Becker’s has reported since…

Five months after U.S. health agencies temporarily removed what is believed to be hundreds of webpages, a federal judge ruled the agencies overstepped the law, according to court documents.  The ruling marked a win for Doctors for America, which represents…

A federal appellate court has upheld an Oregon law that gives the Oregon Health Authority the ability to review and block hospital mergers and other major healthcare transactions, The Oregonian reported July 7.  Four things to know:  1. The Health…

The American Association of Nurse Anesthesiology is contesting a new reimbursement policy from UnitedHealthcare that will cut payments by 15% for some certified registered nurse anesthetists. Effective Oct. 1, the payer will reduce reimbursements by 15% for services provided by…

The owner of two allegedly fraudulent COVID-19 testing labs pleaded not guilty to federal charges connected to what the Justice Department said is a scheme that funneled more than $290 million in federal funds for testing that never occurred.  Mahmood…

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