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…
Legal & Regulatory Issues
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,…
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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…
On June 10, the Justice Department’s Civil Rights Division said Sacramento-based University of California Davis School of Medicine discriminated based on race in its admissions process, the third such finding against a major medical school in two months. Five things…
From two health plan vendors agreeing to settle Medicare Advantage fraud allegations, to the conviction of a New York clinic owner in a $52 million scheme, here are 10 healthcare billing fraud cases that Becker’s reported on since May 19:…
I have practiced medicine for 24 years. I have watched patients recover, watched communities grow, and watched colleagues practice with pride in what they built. What I never expected to watch was Medicare pay me less than it costs to…
Anosh Ahmed, MD, former CFO and COO of Chicago-based Loretto Hospital, filed a June 9 motion to join co-defendants in seeking a dismissal of his federal indictment with prejudice for a COVID-19 testing fraud case. The indictment, filed in June…