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Legal & Regulatory Issues

A Kansas City, Mo.-based man was sentenced to 10 years in prison for orchestrating a Medicare fraud scheme involving false claims for cancer genetic testing and cardiovascular genetic testing.  What happened?  1. Jamie McNamara, 50, operated several labs in Louisiana…

Nine employees in Auburn (N.Y.) Community Hospital’s anesthesiology department turned in their resignations after the chief anesthesiologist’s firing, according to a Nov. 17 report from The Post-Standard. The hospital’s former chief of anesthesiology, Xi Yang, MD, filed a lawsuit Nov.…

Sioux City, Iowa-based UnityPoint Health St. Luke’s Hospital’s level 3 trauma center status has been placed on probation by state regulators for one year, according to a Nov. 13 report from the Iowa Capital Dispatch.  This marks the third time…

George Washington University Hospital in Washington, D.C. — part of King of Prussia, Pa.-based Universal Health Services — has agreed to settle allegations that it illegally required newly licensed nurses to repay training costs if they left before completing a…

A global nurse recruitment agency is suing the Trump administration over a new federal policy requiring employers to pay a $100,000 application fee to sponsor workers on H-1B visas.  Global Nurse Force joined several industry groups and unions in filing…

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Multiple Medicare administrative contractors representing 24 states have proposed limiting coverage for some chronic pain procedures and therapies.  A proposed policy revision published Sept. 25 suggests restricting coverage for peripheral nerve blocks — an anesthetic used to block pain signals…

HHS has commanded state Medicaid programs to investigate the eligibility of hundreds of thousands of program enrollees based on their immigration status amid the federal government’s immigration crackdown, KFF Health News reported Nov. 3.  Officials representing five state Medicaid programs…

Port Townsend, Wash.-based Jefferson Healthcare is facing a lawsuit alleging the hospital and its leadership violated the state’s open public meetings law, The Leader reported Oct. 29. Arthur West, who The Leader reported is an “open government advocate,” filed the…

A Mississippi district court struck down a rule that provided anti-discrimination protections to transgender patients in Medicaid. The May 2024 rule redefined Title IX’s prohibition against discrimination “on the basis of sex” to include gender identity. This would have required…

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