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Legal & Regulatory Issues

Health systems are suing insurers over what they describe as systematic underpayment and unilateral policy changes that reduce reimbursement, while insurers have been turning to the courts to accuse hospitals of gaming the No Surprises Act’s arbitration process. Layered on…

Leapfrog also announced it has reached an all-time record number of hospitals and ASCs reporting metrics. More than 2,400 hospitals, representing over 80% of all inpatient beds in the nation, and more than 3,900 ASCs are participating. It launched its…

HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as…

A nonbinary Pennsylvania patient is suing Hershey, Pa.-based Penn State Health, alleging a hospital in its network canceled their medically necessary mastectomy less than 24 hours before surgery, citing Catholic doctrine. The American Civil Liberties Union of Pennsylvania and law…

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A lawsuit filed July 21 against Seattle-based Swedish Medical Center and the United Network for Organ Sharing alleges the organizations used a race-based kidney function formula that delayed the plaintiff’s transplant waitlist eligibility by six years. The complaint, filed in…

President Donald Trump is rolling out a new round of global tariffs just after midnight July 24, The New York Times reported July 23.  Six things to know:  1. Duties ranging from roughly 10% to 12.5% are set to take…

A former vice president at Centene filed an age discrimination lawsuit against the company July 21. Kay Timmerman filed the complaint in the St. Louis County Circuit Court. The filing said Ms. Timmerman was 59 years old. In August 2025,…

Texas Gov. Greg Abbott signed an executive order July 21 directing six state agencies to investigate and penalize healthcare providers that facilitate what the governor’s office called “birth tourism.” The order tasks the Texas Health and Human Services Commission, the…

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