The American Hospital Association urged CMS to review new policy changes from UnitedHealthcare for diagnostic and specialty pharmacy services that the insurer says are needed to lower medical costs.
Legal & Regulatory Issues
The CEO of a group of Texas-based hospice and home health companies was sentenced Feb. 3 to 15 years in prison for his role in a $150 million healthcare fraud and money laundering scheme, according to the Department of Justice.
A procurement supervisor at Chicago-based Jesse Brown Veterans Affairs Medical Center was charged in a $1.7 million kickback scheme, the U.S. Justice Department said Feb. 5.
From a federal court ordering a for-profit hospital operator to pay $10 million in damages to two cardiologists to a New Mexico indigenous tribe suing HHS over its move to close a hospital on tribal land, here are the latest…
A Florida businesswoman has agreed to settle criminal and civil charges from an alleged scheme involving the submission of more than $400 million in false claims to Medicare and the Civilian Health and Medical Program of the VA, the U.S.…
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Three registered nurses have sued Geisinger and Evangelical Community Hospital, alleging the Pennsylvania hospitals had a secret "no-poach agreement" that suppressed healthcare wages in the region, according to court documents.
Albert Chan, MD, chief of digital patient experience at Sutter Health, credits the Sacramento, Calif.-based health system's widespread collaboration efforts to rapidly scale virtual care as one of the IT achievements he has been most proud of during the pandemic.
New York City-based consulting firm McKinsey on Feb. 4 agreed to pay $573 million to settle investigations into counsel it provided to Purdue Pharma and other opioid drugmakers.
Dallas-based Tenet Healthcare must pay two cardiologists who filed a False Claims Act lawsuit $10 million and reinstate their medical staff privileges for one year, a Michigan federal court ruled Feb. 1, according to Bloomberg Law.
The former part owner of a home healthcare company and a nurse were arrested Jan. 31 and charged in connection with a $100 million healthcare fraud scheme, according to the U.S. Justice Department.