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Legal & Regulatory Issues

From an insurer accused of systematically denying coverage for cancer treatment to a Texas heart hospital agreeing to pay $48 million to settle false claims allegations, here are the latest healthcare industry lawsuits and settlements making headlines. 

Five hospitals recently sued HHS over its calculation of Medicare Part A disproportionate share hospital payments for patients who were enrolled in Medicare Advantage plans under Part C of the Medicare Act.

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President Donald Trump commuted a 20-year sentence for a Florida healthcare executive who was convicted for his role in a $1.3 billion Medicare fraud case. It was the largest healthcare fraud scheme ever charged by the U.S. Justice Department.

The U.S. Justice Department filed a lawsuit against Walmart Dec. 22 alleging the supermarket giant contributed to the opioid crisis by failing to properly screen its pharmacies for abusive prescribing practices. 

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