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…
Legal & Regulatory Issues
On June 12, a Maryland federal judge vacated parts of CMS’ rule designed to govern marketplace integrity and affordability. The excised provisions include the $5 premium penalty on automatic re-enrollees, revocations of guaranteed insurance for people with past-due premiums, eligibility verification for…
A former nursing school operator in Florida pleaded guilty June 15 to selling approximately 2,600 fake degrees as part of a broader, yearslong scheme that the Justice Department said resulted in 7,500 to 15,000 falsified diplomas. Carleen Noreus operated two…
A lawsuit filed on behalf of the man accused of fatally shooting a DCH Health System nurse alleges the Tuscaloosa, Ala.-based system failed to provide emergency psychiatric care before the attack, a claim DCH disputes, saying the man never entered…
A North Carolina Senate committee endorsed a bill June 11 that would cap hospital CEO pay but removed a provision that could have affected a proposed health system combination. The North Carolina Senate Health Care Committee, chaired by Sen. Jim…
Advertisement
Healthcare has long been home to terminology debates that can look semantic on the surface, but industry experts argue there is something more consequential underneath. Calling a clinician a “provider” can spark an ethics debate. Calling a PA a “physician…
CMS said June 12 it seeks to shift the Medicare Drug Price Negotiation Program from guidance-based administration to codified regulation. Here is what hospital and health system leaders need to know. 1. The rule moves the program from guidance to…
Elevance Health is suing a former senior executive, alleging he violated a noncompete agreement when he joined Medicare Advantage insurer Alignment Healthcare weeks after resigning. The complaint was filed June 5 in an Indiana federal court and names Shane Hochradel,…
Federal prosecutors filed a June 11 emergency motion to dismiss an indictment with prejudice against two co-defendants in the COVID-19 testing fraud case connected to Anosh Ahmed, MD, former CFO and COO of Chicago-based Loretto Hospital. The government’s emergency motion,…
From hospital staffing enforcement to pharmacy pricing and prior authorization reform, several healthcare-related laws are set to take effect July 1. Here are four new rules and laws to know: 1. Federal student loan caps for PA and CRNA programs…