Acting U.S. Attorney General Todd Blanche is launching the National Fraud Enforcement Division for taxpayer-funded programs, according to an April 7 memo. The White House announced plans for the division in January as Medicaid fraud concerns in Minnesota intensified. In…

Philadelphia-based Jefferson Health filed a lawsuit against Aetna over its “level of severity inpatient payment policy” for Medicare Advantage beneficiaries, according to an April 6 filing in a Pennsylvania federal court. The policy took effect in 2026 after Aetna bumped…

A former leader within Pittsburgh-based UPMC has filed a lawsuit against the system and UPMC Heart and Vascular Institute, alleging retaliation after raising concerns about a conflict of interest involving the system’s CEO. Here are seven things to know: 1.…

Minneapolis-based Children’s Minnesota has resumed all services in its Gender Health program after a temporary pause that began Feb. 27, according to a health system statement shared with Becker’s. The decision follows a March court ruling that vacated a federal…

The Federal Trade Commission has warned Tennessee lawmakers that proposed legislation allowing Ballad Health’s Certificate of Public Advantage to expire without competing hospitals in place could harm patients by increasing costs and reducing care quality while the system faces no…

A judge for the U.S. District Court for the District of Massachusetts denied a motion to dismiss a lawsuit alleging an antitrust conspiracy by healthcare technology company Zelis and five major health insurers, according to a March 30 court filing.…

Three weeks after a federal judge voided recent decisions by a CDC vaccine advisory panel, the agency changed the committee’s appointment process to place nominations under the purview of HHS chief, Robert F. Kennedy Jr.  The HHS Secretary now has authority…

Steubenville, Ohio-based Trinity Hospital has agreed to pay $1.7 million to resolve allegations of improper financial relationships with two referring physicians in violation of the Stark law, the Justice Department said in an April 2 news release. Between 2014 and…

CMS published its final 2027 Medicare Advantage and Part D rule on April 2, enacting changes to star ratings, supplemental benefits administration, Part D coverage, and a series of deregulatory provisions. The rule is effective June 1 and applies to…

The Leapfrog Group is expanding its Ambulatory Surgery Center Public Reporting Program to include nearly 4,000 ASCs in the U.S.  The expanded program will use CMS public reporting, accreditation standards and its “ASC Survey 2.0” measure and report ASC performance,…