An analytics firm that found Tennessee's State Group Insurance Program is overcharging providers may face a lawsuit from the state's largest health insurer.
Legal & Regulatory Issues
While most private health insurers moved to waive member cost-sharing for COVID-19 testing and treatment, many of those waivers are expiring in coming months.
A nurse sued Louisville, Ky.-based Kindred Healthcare this week, alleging the organization fired him in retaliation for raising patient safety concerns, reports the San Antonio Express-News.
Phoenixville (Pa.) Hospital and Firstsource Solutions, a revenue cycle services provider, have agreed to pay a combined $325,000 to settle False Claims Act allegations, according to the Department of Justice.
The former leader of a rural hospital chain and nine others were charged earlier this year in a $1.4 billion billing scheme. That case was one of several prosecutors brought this year alleging fraud schemes of $100 million or more.
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A CMS investigation found Lovelace Women's Hospital in Albuquerque profiled pregnant Native American women for COVID-19 testing and separated them from their newborns without adequate consent until test results came back, according to New Mexico In Depth and ProPublica.
From a union suing a major for-profit hospital operator to a Cincinnati-based health system settling Medicare fraud allegations, here are the latest healthcare industry lawsuits and settlements making headlines.
German pharma company Boehringer Ingelheim has agreed to pay $379,089 to resolve allegations that it paid 75 female employees at its St. Joseph, Mo., facility less than their male counterparts, according to the U.S. Labor Department.
Cincinnati-based UC Health has agreed to pay $3.1 million to settle Medicare fraud allegations, according to The Cincinnati Enquirer.
Coral Gables, Fla.-based Doctors HealthCare Plans and its CEO allegedly violated the Family and Medical Leave Act by firing an immunocompromised executive over medical issues, according to Law360, which cited a federal complaint filed Aug. 19.