A House bill introduced April 20 by a bipartisan group of representatives, five of whom are also physicians, aims to tighten prior authorization timelines and impose stricter denial policies. “Medicare is a promise to America’s seniors that they will have dependable access…
Legal & Regulatory Issues
One police officer has died and another is in critical condition after being shot by a patient April 25 at Endeavor Health’s Swedish Hospital in Chicago, according to the Chicago Police Department. A man was in law enforcement custody and…
A federal court has temporarily halted a Florida-based operation that the Federal Trade Commission alleges collected more than $91 million by deceiving consumers into purchasing fake health insurance coverage. The FTC filed its complaint April 7 in the U.S. District…
Ramco Healthcare Holdings, the landlord of two Chicago-area hospitals that closed in August 2025 and March 2026, respectively, has filed a lawsuit against the facilities’ operator, Resilience Healthcare, alleging financial mismanagement. Ramco’s lawsuit comes one week after Resilience had filed…
St. Louis-based Ascension has backed new federal legislation to improve the Medicare Advantage program and reduce barriers to senior care. The system endorsed the Medicare Advantage Improvement Act, or H.R. 8375, which seeks to address ongoing concerns about delays, denials…
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Derrick Todd, MD, a former Boston-based Brigham and Women’s rheumatologist, is facing over 100 sexual assault charges involving nearly two dozen patients, The Boston Globe reported April 21. Dr. Todd worked at two Brigham and Women’s hospitals and a physician…
CMS Administrator Mehmet Oz, MD, said his administration will require all states to audit healthcare providers participating in Medicaid to address alleged fraud, Politico reported April 21. Dr. Oz unveiled the plan at Politico’s Health Care Summit. Beginning this week,…
A federal judge has issued a sweeping written order formally vacating HHS Secretary Robert F. Kennedy Jr.’s declaration on gender-affirming care for minors and permanently barring the administration from implementing any similar policy against healthcare providers in 21 states. Four…
A retired chief philanthropy officer and four other former employees at Renton, Wash.-based Providence filed a lawsuit April 17 against the system, alleging the organization failed to monitor retirement plans that lost nearly $70 million in five years. The lawsuit alleges…
From a Florida brokerage firm pleading guilty to an ACA enrollment fraud scheme to a Texas durable medical equipment owner sentenced to prison for a $61.5 million scheme, here are eight healthcare billing fraud cases Becker’s has reported since March…