Peoria, Ill.-based OSF HealthCare has agreed to pay $25 million to resolve a lawsuit alleging it skirted Employee Retirement Income Security Act requirements by claiming an exemption for "church plans," according to Law360.
Legal & Regulatory Issues
From a health insurance company accused of illegally deflating reimbursement to a Florida physician pleading guilty to submitting $20 million in fraudulent claims, here are the latest healthcare industry lawsuits and settlements making headlines.
On Sept. 21, the U.S. House of Representatives passed a bill that would repeal antitrust exemptions for health insurers.
From an urgent care network paying $12.5 million to resolve overbilling allegations to a Florida physician pleading guilty to submitting $20 million in fraudulent claims, here are the nine healthcare billing fraud cases that made headlines in the past month.
Four U.S. senators wrote a letter to U.S. Bankruptcy Judge Robert Drain Sept. 21, in which they urged him to prevent Purdue Pharma from paying its CEO a $3.5 million bonus.
Advertisement
A physician in Berwyn, Pa., has agreed to pay $1.26 million to resolve False Claims Act allegations, the Department of Justice announced Sept. 18.
Two hospital-based physician groups have filed a lawsuit accusing UnitedHealth Group of improperly cutting reimbursements to out-of-network providers, according to Law360.
A physician in Florida has pleaded guilty to conspiracy to commit healthcare fraud and faces a maximum of 10 years in federal prison, the Department of Justice announced Sept. 18.
Trauma surgery is the art of prioritization and efficiency.
CMS sent a warning notice to Vermont last week calling for a reboot of its all-payer model, which hasn't met its participation or savings goals, according to the VT Digger.