Legal & Regulatory Issues

Aurora, Colo.-based UCHealth has agreed to pay $23 million to resolve alleged False Claims Act violations involving improperly coded emergency department claims billed to TRICARE and Medicare.

A wrongful death lawsuit has been filed in the fatal July 2023 shooting at Legacy Good Samaritan Hospital in Portland, Ore., The Oregonian reported.

President-Elect Donald Trump announced the development of a new governmental department with the goal of restructuring agencies, cutting waste and improving efficiencies, according to Reuters.

Johnson & Johnson is asking a federal judge to declare its 340B rebate plan legal and prevent HHS and the Health Resources and Services Administration from taking any enforcement action against its implementation. 

Ohio Auditor of State Keith Faber's office has issued a report finding insufficient evidence to justify a criminal referral of Akram Boutros, MD, former CEO of Cleveland-based MetroHealth, in a case involving allegations that he received unauthorized bonus payments.

Indianapolis-based Community Health Network is suing Humana for allegedly failing to reimburse it for 340B drugs provided to the payer's members, the Indianapolis Business Journal reported Nov. 11. 

A judge has found the board for Memphis, Mo.-based Scotland County Hospital guilty of violating the state's open meetings and records law, commonly referred to as the Sunshine Law, when it held two emergency closed meetings, the hospital confirmed in…

A federal grand jury has re-indicted a former Yale New Haven (Conn.) Hospital nurse accused of tampering with medications meant to be dispensed to patients, according to a Nov. 9 report from the Republican-American.

A Michigan pharmacist and his brother were convicted for their roles in a $15 million healthcare fraud scheme. 

A New York City judge dismissed a lawsuit against the chair of One Brooklyn Health's board of trustees, originally filed in December.