Fountain Valley, Calif.-based Memorial Health Services has agreed to pay $31.5 million for overcharging California's Medicaid program for prescription drugs, California Attorney General Xavier Becerra announced Nov. 2.
Legal & Regulatory Issues
Primary care physicians in Memphis, Tenn., agreed to resolve allegations that they charged Medicare for services provided by nurse practitioners at the higher physician rate, according to the Justice Department.
On Nov. 1, CMS approved Georgia's request to implement a waiver that will change how the state runs its individual marketplace.
From a medical device maker settling a False Claims Act lawsuit to nurses suing the city of San Francisco for overtime pay, here are the latest healthcare industry lawsuits and settlements making headlines.
Minneapolis-based Medtronic, a medical device maker, has agreed to pay more than $9.2 million to resolve allegations that it made improper payments to a neurosurgeon in South Dakota, according to the Department of Justice.
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The California Department of Managed Health Care fined Blue Cross of California $1.2 million for delaying coverage authorization for medically necessary services, the department said Oct. 28.
Medicare, Medicaid and private insurers will all be required to cover a COVID-19 vaccine without any out-of-pocket costs for beneficiaries and members, CMS said Oct. 28.
Two U.S. representatives released documents Oct. 27 detailing the Sackler family's role in opioid sales for Purdue Pharma, which the family owned until it agreed to dissolve the company in an agreement reached with the Department of Justice.
Aetna agreed to pay the Office for Civil Rights $1 million to settle three separate HIPAA violations, HHS said Oct. 28.
William Spencer, MD, a physician, Suffolk County (N.Y.) legislator and a member of an opioid task force, is facing felony drug charges, according to ABC News.