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Legal & Regulatory Issues

From two of the nation’s largest PBMs challenging an Arkansas law to Lee Health and Nicklaus Children’s reaching a deal to keep a pediatric center open, here are 10 healthcare industry lawsuits, settlements and legal developments that Becker’s has reported…

Children’s Healthcare of Atlanta has agreed to pay a job applicant $50,000 in settlement of claims that the health system violated federal law by rescinding a job offer after the applicant requested a disability-related accommodation, according to court records reviewed…

Clearwater, Fla.-based BayCare Health System has agreed to pay $800,000 to HHS’ Office for Civil Rights and implement a corrective action plan as part of a settlement concerning alleged HIPAA violations.  The settlement stems from a HHS investigation into a…

From two men charged in a $227 million Medicare scheme to a Boston physician pleading guilty to her role in a $35.3 million Medicare scheme, here are 10 healthcare billing fraud cases that Becker’s has reported since April 24: 1.…

A months-long dispute over the future of pediatric care in Collier County has reached a resolution, as Fort Meyers, Fla.-based Lee Health and Nicklaus Children’s announced a settlement agreement ensuring that the Golisano Children’s Health Center in Naples, Fla., will…

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The U.S. Trustee for the Southern District of Texas filed a May 25 expedited motion to convert Dallas-based Steward Health Care’s Chapter 11 bankruptcy case to a Chapter 7 liquidation due to the for-profit health system’s inability to pay around…

Two Illinois men have been charged for allegedly submitting more than $227 million in fraudulent claims to Medicare.  Five things to know: 1. Syed Kablazada, 34, of Arlington Heights and Syed Hussain, 32, of Carol Stream, owned and operated purported…

The state of New Hampshire and Lebanon-based Dartmouth Health, Concord Hospital Health System and the New Hampshire Hospital Association have reached a settlement agreement on pending litigation over the state’s Medicaid Enhancement Tax and Disproportionate Share Hospital payments. The settlement,…

A rheumatologist from Mission, Texas, was sentenced to 10 years for falsely diagnosing patients with chronic illnesses and billing insurers for more than $118 million in fraudulent claims.  Five things to know: 1. Jorge Zamora-Quezada, MD, 68, falsely diagnosed patients…

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