A whistleblower who alleged Colchester-based OneCare Vermont was knowingly using unreliable data and a faulty analytics platform has decided to drop litigation against the state's only ACO.
Legal & Regulatory Issues
VPA, a physician group that provides home-based care to patients in 12 states, and its management services affiliate agreed to repay the federal government $829,611, to resolve allegations that they billed Medicare for medically unnecessary physician visits, according to the U.S.…
An appellate court is backing the reinstatement of a lawsuit filed by three former UPMC employees claiming the health system's neurosurgeons violated the Stark Law and the Anti-Kickback Statute, according to the Pittsburgh Post-Gazette.
The owner and COO of TPC Family Medicine and Urgent Care Clinics in San Antonio and Laredo, Texas, were arrested Dec. 19 and charged for their alleged roles in a bribery and kickback scheme, according to the Department of Justice.
The California Department of Managed Health Care announced Dec. 18 that it has fined 12 health plans a total of $1.9 million for lack of oversight of a contracted medical group, which led to improper denials and delayed care.
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From Sutter Health agreeing to pay $575 million to end an antitrust case to a former nurse accused of secretly recording hundreds of patients at a Pennsylvania hospital, here are the latest healthcare industry lawsuits and settlements making headlines.
Sutter Health, a 24-hospital system based in Sacramento, Calif., has agreed to pay $575 million to settle an antitrust case brought by employers and California Attorney General Xavier Becerra.
CMS issued a final rule Dec. 20 that aims to strengthen the integrity of state-based insurance exchanges under the ACA and includes separate billing for abortion services.
The National Academies of Sciences, Engineering, and Medicine issued a report outlining a framework to develop acute pain prescribing plans Dec. 19.
A Tennessee lawmaker is requesting the state comptroller to check if BlueCross BlueShield of Tennessee, the administrator of the state's employee health plan, is properly paying medical claims, according to the Chattanooga Times Free Press.