Cigna and its third-party claims administrator American Specialty Health agreed to a $20 million settlement that resolves two lawsuits concerning payment for chiropractic care, according to the North Jersey Record, part of the USA Today network.
Legal & Regulatory Issues
The executive director of an autism center in suburban Chicago faces federal fraud charges related to potentially illegal billing practices, according to the Department of Justice.
Hayward, Calif.-based Amity Home Health Care was charged Sept. 5 in a $115 million Medicare fraud scheme, according to The Mercury News.
Two families have filed lawsuits against Buffalo Center, Iowa-based Timely Mission Nursing Home, alleging neglect and abuse by staff caused two resident deaths, according to The Globe Gazette.
Trinity Health in Livonia, Mich., and Anesthesia Associates of Ann Arbor (Mich.) reached a five-year agreement that resolved their dispute over noncompete clauses, the organizations said Sept. 5.
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Gainesville-based Northeast Georgia Health System and Anthem have hit a contract impasse, according to NPR affiliate WABE.
Hospital operator Universal Health Services plans to ink a compliance agreement with federal regulators as part of a broader settlement to resolve allegations of billing fraud, according to the Wall Street Journal.
CVS Health's $69 billion purchase of Aetna is official after a federal judge ruled that with its planned divestitures, the deal is not anticompetitive, according to a Sept. 4 court order.
A nurse who worked at St. Joseph's Hospital in Tampa, Fla., is suing the hospital's operator for allegedly unsafe staffing levels in the emergency room overnight, the Tampa Bay Times reports.
A former employee at the Veterans Benefits Administration in Huntington, W. Va., pleaded guilty Sept. 3 to computer fraud, according to MetroNews.