Arizona health centers are accusing the state's Medicaid program of not reimbursing them for their full costs of all provided services, according to a Capitol Media Services report in the Arizona Capital Times.
Legal & Regulatory Issues
Sioux Falls, S.D.-based Sanford Health has agreed to pay $20.25 million to settle False Claims Act allegations originally brought in a whistleblower lawsuit filed in 2016, according to the Department of Justice.
Patients are 13 to 23 percent more likely to die after being treated by a provider who is a perpetrator of Medicare fraud, according to new research published by JAMA Internal Medicine.
The Trump administration added another hurdle last week for immigrants using Medicaid.
A former bishop diverted money from Wheeling (W.Va.) Hospital to charitable organizations to spend at his discretion, which included giving a cardinal at the Vatican a $29,000 gift to redecorate his apartment, according to The Washington Post.
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From a lawsuit delaying the $361 million sale of a Kentucky hospital to a federal judge siding with hospitals in a decision on site-neutral pay cuts, here are the latest healthcare industry lawsuits and settlements making headlines.
More than 100 health insurers represented in a class-action lawsuit against the federal government should get $1.6 billion in ACA payments, a judge said.
Trillium Community Health Plan has filed a federal antitrust suit against three of the largest hospital systems in Portland, Ore., claiming they colluded to block the insurer from operating in the area, according to The Oreonian.
CMS' Innovation Center will delay the start of a new payment model called Primary Care First by a year, according to timeline updates on the model's information page.
Miami-based Jackson Health System was slapped with a $2.15 million fine from HHS' Office for Civil Rights for HIPAA violations that spanned between 2013 and 2016, according to an Oct. 23 news release.