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Legal & Regulatory Issues

An employee of Aultman Hospital in Canton, Ohio, was injured June 27 after being struck by a bullet “in the line of duty”, the hospital wrote in a Facebook post.  James Fair, 36, a hospital patient exhibiting emotional distress, according…

The Wisconsin Supreme Court ruled on June 27 that Madison, Wis.-based UW Health is not legally required to engage in collective bargaining with its nurses, upholding November 2022 decisions from the Wisconsin Employment Relations Commission. In a June 27 statement…

In a landmark decision, the U.S. Supreme Court has upheld the Affordable Care Act’s preventive care coverage mandate in a 6-3 vote, affirming that the U.S. Preventive Services Task Force can continue issuing recommendations for services that must be covered…

Aurora, Colo.-based UCHealth has prevailed in a lawsuit with Colorado’s Medicaid agency over provider fee money. State officials said the decision could move up to $50 million a year away from public hospitals and into private hospitals, The Colorado Sun…

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CVS Caremark has been ordered to pay $95 million after a federal judge found the pharmacy benefit manager improperly inflated Medicare Part D drug prices by failing to report required pharmacy discounts, violating the False Claims Act.  The ruling follows…

From the former CFO of a Chicago hospital charged in a suspected $290 million COVID-19 testing fraud scheme to the conviction of a healthcare software CEO in a $1 billion case, here are 10 recent healthcare billing fraud cases that…

Several Iowa businesses and health plans are suing to block a new state law regulating pharmacy benefit managers, arguing it violates federal law and the Constitution, Iowa Capital Dispatch reported June 23.  The lawsuit, filed June 23 in the U.S.…

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