Legal & Regulatory Issues

A former patient is suing UPMC Susquehanna for fraud, alleging the health system deliberately made false representations to the public by using phrases such as "life-changing medicine" in advertisements. The Pittsburgh-based health system says it can't be sued for fraud…

A federal appellate court recently ruled that Anthem is required to pay Martin Luther King Jr. Community Hospital in Los Angeles for about 75 emergency room visits from covered patients, according to Bloomberg Law. 

Jackson Noel, PharmD, was sentenced to 10 years in prison Sept. 30 for an illegal opioid distribution scheme, according to the U.S. Attorney's Office in the Eastern District of Kentucky.

More than 100 physicians, nurses and other medical professionals have been charged in relation to schemes that defrauded federal healthcare programs and private insurers by more than $6 billion, according to a Sept. 30 news release from the Department of…

From a Texas hospital settling false claims allegations to a cardiologist filing a wrongful termination suit against a Florida health system, here are the latest healthcare industry lawsuits and settlements making headlines. 

Sen. Tammy Baldwin, D-Wis., wrote a letter to Purdue Pharma's board members Sept. 29 requesting they release emails and any other information related to the drugmaker's choice to change its New York address for receiving legal documents from Albany to…

None of the clinical trials for opioids the FDA approved to treat chronic pain from 1997 to 2018 lasted longer than three months, according to research published Sept. 29 in Annals of Internal Medicine.

Lakeway (Texas) Regional Medical Center and its former managers agreed to pay more than $16.4 million to resolve two separate False Claims Act lawsuits, the U.S. Justice Department said Sept. 28. 

Police have arrested two people in connection to the Sept. 14 shooting of a physician at Edina, Minn.-based M Health Fairview Southdale Hospital, reports CBS affiliate WCCO-TV. 

NYC Health + Hospitals and a podiatrist agreed to pay $1.25 million to settle allegations that the system's Coney Island Hospital in Brooklyn improperly billed Medicare and Medicaid, according to Bloomberg Law.