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…
Legal & Regulatory Issues
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…
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…
A 58-year-old man has been arrested and charged after police said he threatened the CEO of Bristol (Conn.) Health on social media. Bristol Police said in a Facebook post that they located and arrested Richard Stark June 24 after the…
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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.…
A former physician from Columbus, Ohio was sentenced to two years in prison for a $1.5 million Medicaid fraud scheme. What happened?
HHS’ Office for Civil Rights has launched an investigation into a large, unnamed health system in Michigan following allegations of religious discrimination, the agency said June 20. The investigation will determine whether the health system’s policies comply with conscience protection…
From UNC Health suing Aetna and Humana to Purdue Pharma reaching a settlement over its role in the opioid epidemic, here are 10 healthcare industry lawsuits, settlements and legal developments that Becker’s has reported since June 10: 1. An Ohio…
The owner of a Chicago laboratory was sentenced to seven years in prison for his role in a $14 million COVID-19 testing fraud scheme. What happened?