Legal & Regulatory Issues

The following hospital lawsuits and settlements were reported since Aug. 1, beginning with the most recent.

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. 

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. 

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.