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Legal & Regulatory Issues

A federal jury convicted a Maryland physician on five counts of healthcare fraud for submitting more than $15 million in false claims to Medicare and a commercial insurer. 

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The owner of a Whittier, Calif.-based medical clinic pleaded guilty to his role in a scheme that fraudulently billed Medi-Cal for $5 million in services that were never performed. 

A Texas federal judge has sided with the Texas Medical Association for a third time in its series of legal challenges over the No Surprises Act, this time over a 600 percent hike in administrative fees when seeking dispute resolutions.   

Teva Pharmaceuticals, an Israel-based drug manufacturer, has agreed to pay U.S. hospitals up to $126 million to settle allegations that its marketing of opioids increased the hospitals' operating costs, according to financial documents published Aug. 2.

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