From health systems facing antitrust lawsuits to hospital employees suing over retirement plan fees, here are the latest hospital lawsuits and settlements making headlines.
Legal & Regulatory Issues
A bipartisan bill in Georgia's House of Representatives would require managed care organizations to reimburse the state if they spent too little on medical care or quality improvements, according to Kaiser Health News.
A Mississippi pharmacist was sentenced to five years in prison Jan. 26 for his role in a $180 million healthcare fraud scheme, according to the Justice Department.
New York City nonprofit Upsolve and a pastor filed a lawsuit Jan. 25 against the state attorney general's office in an effort to allow people to receive free legal advice over debt collections, including medical debt, according to court documents.
Indiana lawmakers are pushing forward a bill that aims to increase payer price transparency and cut down prior authorization turnaround time, according to the Indianapolis Business Journal.
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America's Health Insurance Plans filed an amicus curiae brief in support of HHS in an ongoing lawsuit from the Association of Air Medical Services, a trade association representing air ambulance providers.
Two North Carolina payers — Aetna Better Health Care and My Health by Health Providers of Morrisville — are stepping away from the table after suing the state's health and human services department in 2019 over its Medicaid contract, according…
President Joe Biden is exploring requiring coverage of at-home COVID-19 tests for Medicare beneficiaries in addition to private commercial members, according to a Jan. 26 report from The Wall Street Journal.
New York state's mask mandate has been shot down as unconstitutional, a judge ruled, The New York Times reported Jan. 25.
Although the price transparency elements of the No Surprises Act do shake up the payer-provider dynamic, the true controversy surrounding the act involves out-of-network rate mediation, Larry Levitt, Kaiser Family Foundation executive vice president for health policy, wrote in a…