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Healthcare regulatory, compliance and policy news

Becker’s reports on healthcare fraud enforcement, new CMS and state regulations, and what each changes for billing, licensure and clinical operations.



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From the Oval Office to Congress, fraud has become one of the loudest rallying cries of the federal government’s healthcare agenda this year. Minnesota was an early target of the Trump administration’s healthcare fraud crackdown, but the scrutiny has since…

A Justice Department investigation has found the Yale School of Medicine in New Haven, Conn., violated federal law by intentionally discriminating based on race in admissions. Five things to know: 1. The investigation by the department’s civil rights division found…

A federal judge in Rhode Island blocked the Justice Department from obtaining records related to minors who received gender-affirming care at Rhode Island Hospital, ruling the subpoena lacked a congressionally authorized purpose and violated patients’ constitutional privacy rights. In a…

Columbus-based OhioHealth is seeking the dismissal of the Justice Department’s antitrust lawsuit against the system, arguing the lawsuit is too vague to proceed and misreads how competition in healthcare markets actually works.  Four things to know: 1. The Justice Department…

Iowa Republican Gov. Kim Reynolds signed a law May 13 that enacts prior authorization reforms and prohibits insurers from penalizing providers for out-of-network referrals, according to the Iowa Hospital Association. Under the law, while initial prior authorization reviews can be…

Vice President J.D. Vance said that the White House is withholding $1.3 billion in federal Medicaid reimbursements to California, alleging that the state is not taking Medicaid fraud “seriously,” NBC News reported May 13.  CMS Administrator Mehmet Oz, MD, said…

In 2025, California fined a hospital about $74,000 for three penalties, including a $42,750 administrative penalty for a medication error that beget an immediate jeopardy, according to The Modesto Bee.  In January 2024, CMS placed Modesto, Calif.-based Memorial Medical Center…

A Houston Methodist employee was attacked the morning of May 11 at a Texas Medical Center parking garage and was released from the hospital the same day, a health system spokesperson confirmed to Becker’s. Three things to know: 1. A…

Distributors of mifepristone, an FDA-approved drug to induce an abortion, may continue shipping the medication for now, according to a May 11 order from the Supreme Court.  The Supreme Court initially made this order May 4 before extending it May…

The former CEO of an unnamed, publicly traded healthcare services company was sentenced to five years in prison for his role in a $212 million scheme to defraud investors.  Five things to know: 1. Parmjit “Paul” Parmar, of Colts Neck,…

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