A California federal judge dismissed an Elevance Health subsidiary’s lawsuit that alleged that HaloMD and several providers conspired to exploit the No Surprises Act’s Independent Dispute Resolution process for financial gain. Anthem Blue Cross alleged that HaloMD and affiliated providers…

New York City-based NewYork-Presbyterian has been ordered to pay $500,000 and make “sweeping” reforms as part of a settlement over its treatment of patients experiencing behavioral health emergencies. Six things to know: 1. Following a yearslong investigation, the Office of…

CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule would also shorten decision timeframes and expand public reporting…

Los Angeles-based Prospect Medical Holdings, a private equity-backed hospital chain that filed for bankruptcy in 2025, promised malpractice coverage to its hospitals and employed physicians but set aside no money to pay claims — leaving hundreds of patients with potentially…

Certificate-of-need laws—originally designed to prevent the duplication of healthcare services in a specific geographic region—may be on the chopping block for many states as a condition of the federal Rural Health Transformation program. Every state submitted applications seeking a share…

The Trump administration appears to have abandoned its legal push to limit funding for universities and academic medical centers that cover administrative and operational costs associated with research projects.  In February 2025, the National Institutes of Health shared plans to…

AbbVie has filed a lawsuit challenging federal guidance on how “patient” is defined under the 340B program, according to an April 8 press release. The company said the current definition, based on guidance issued in 1996, allows covered entities to…

A Florida woman who treated more than 4,000 hospital patients without an advanced nurse tech license license was sentenced April 7 to five years probation. In January 2025, Flagler County Sheriff’s Office and AdventHealth Palm Coast (Fla.) Parkway began an…

A federal judge in Rhode Island denied the U.S. government’s request to dismiss a lawsuit regarding its termination of thousands of HHS employees in spring 2025, according to an April 7 decision.  The lawsuit, filed by 19 states and the…

CMS has issued operational guidance to states regarding how to implement H.R. 1’s Medicaid coverage restrictions for noncitizens, which take effect Oct. 1. On April 8, the agency outlined how states must update eligibility systems, applications, verification processes and claims…