As Certificate of Need (CON) laws continue to evolve across the United States, healthcare executives are facing a regulatory landscape that is in rapid flux. These changes are opening the door to new growth opportunities—but also intensifying competition, escalating real…
Legal & Regulatory Issues
The CEO of a healthcare software company was convicted by a federal jury for his role in operating a platform that generated fraudulent physicians’ orders to defraud Medicare and other payers out of more than $1 billion. What happened? Gary…
UnitedHealth Group is suing The Guardian for defamation following the publication of an investigative report from the media outlet that accuses the company of engaging in harmful and fraudulent cost-cutting tactics in nearly 2,000 nursing homes. The lawsuit, filed June…
A federal appeals court ruled June 4 that Tata Consultancy Services must pay interest on a $140 million punitive damages award to Epic dating back to the original 2017 judgment. Here are five things to know:
A June 3 lawsuit against former Department of Government Efficiency leader Elon Musk and HHS Secretary Robert F. Kennedy Jr. alleges that the decision to fire 10,000 federal employees was based on faulty data, Bloomberg Law reported June 4. The…
Advertisement
An Illinois federal judge ruled that lawsuits accusing MultiPlan of colluding with payers in a price-fixing scheme to underpay providers by tens of billions annually may proceed. MultiPlan, which rebranded as Claritev in February, sought to dismiss a consolidated class-action…
CMS has withdrawn a 2022 guidance issued under the Biden administration that reinforced hospitals’ obligations to provide emergency abortion care to women under the Emergency Medical Treatment & Labor Act. Six things to know: 1. CMS rescinded the guidance, along…
The FBI is urging the public to report tips about hospitals, clinics or practitioners offering gender-affirming surgeries for minors. The bureau issued the request via a June 2 post on X, linking to its phone and online tip lines. “Help…
A Chula Vista, Calif., man who owned and operated multiple durable medical equipment companies pleaded guilty to his role in a $51 million Medicare fraud scheme. What happened? Fernando Ayub, 48, and his co-conspirators sold orthotics to Medicare beneficiaries and…
A hospital in Charleston, W.Va., is facing a class-action lawsuit alleging “unnecessary and invasive” hernia surgeries during robotic bariatric procedures, the West Virginia Record reported May 23. The lawsuit was filed against Charleston Area Medical Center — part of Charleston,…