A federal judge on July 29 denied a request from 25 states and Washington, D.C., to temporarily block parts of the Trump administration’s Medicaid work requirement rule. Six things to know: 1. U.S. District Judge Richard Stearns denied the states’…
Legal & Regulatory Issues
The Department of Justice’s decision not to prosecute an eye care management company this week, while indicting its founder on fraud and kickback charges, gives healthcare compliance teams their first real-world look at how a new federal disclosure policy works.…
The Senate Committee on Health, Education, Labor and Pensions voted 12-11 July 30 to support a full Senate vote on three Trump administration nominees, including two HHS leaders. The three nominees on the agenda were Sean Kaufman for HHS assistant…
The Massachusetts Senate voted July 29 to authorize the commonwealth to seize the shuttered Norwood (Mass.) Hospital site through eminent domain, clearing the path for a new nonprofit operator to take over. “The legislation, S.3231, would initiate a public process…
From a telemedicine company owner sentenced to prison for a $136 million durable medical equipment fraud scheme, to a medical device maker accused in a Medicare billing scheme, here are 10 healthcare billing fraud cases that Becker’s has reported since…
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The federal government will stop funding what it determines to be “dangerous” gain-of-function research conducted in the U.S. and abroad after implementing a new policy. The “Policy for Stopping High-Risk Life Sciences Research” lands during broader upheaval in federal research…
New York City-based Weill Cornell Medicine resolved a yearslong federal criminal investigation into its handling of a former urologist’s sexual abuse of patients, federal prosecutors said July 27. Weill Cornell has paid or agreed to pay victims more than $1…
Health systems are suing insurers over what they describe as systematic underpayment and unilateral policy changes that reduce reimbursement, while insurers have been turning to the courts to accuse hospitals of gaming the No Surprises Act’s arbitration process. Layered on…
Leapfrog also announced it has reached an all-time record number of hospitals and ASCs reporting metrics. More than 2,400 hospitals, representing over 80% of all inpatient beds in the nation, and more than 3,900 ASCs are participating. It launched its…
HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as…