The Department of Justice revised its manual Sept. 18 to support its fight against fraud under the False Claims Act through more clearly outlined standards to promote fairness and effective enforcement. The first change in the manual reinstates and expands…

For years, sophisticated AI detection tools made banking an inhospitable place for fraud. Healthcare filled the gap. Mehmet Oz, MD, CMS administrator, said at the Oracle Health and Life Sciences Summit that dynamic is now driving one of his highest…

A Colorado judge ruled Sept. 22 that Aurora-based Children’s Hospital Colorado complied with a court order from this summer, which instructed the hospital to stop refusing gender-affirming care, according to The Colorado Sun.  In May, the Colorado Supreme Court ordered…

A coalition of five Medicaid beneficiaries, six physician and health organizations and the city of Columbus, Ohio, sued HHS Secretary Robert F. Kennedy Jr., CMS Administrator Mehmet Oz, MD, and their agencies Sept. 18, arguing CMS’ interim final rule on…

An Ormond Beach (Fla.) Police Department officer was shot at a Daytona Beach, Fla., hospital Sept. 21 while guarding a man who was in police custody. The officer was shot at AdventHealth Daytona Beach (Fla.), according to Sept. 21 news…

A New York state court has dismissed a lawsuit brought by two medical practices seeking more than $1.7 million from Elevance Health subsidiaries over unpaid No Surprises Act arbitration awards, ruling that the providers failed to make a viable claim…

New York City-based NYU Langone Health and the University of Pittsburgh Medical Center will stop providing gender-affirming care to minors and pay a combined $9.45 million under agreements with the Justice Department, the department announced Sept. 18. NYU Langone will…

Several HCA Healthcare-affiliated hospitals in Texas filed a lawsuit Sept. 11 against Pennsylvania insurer Independence Blue Cross over alleged claim denials. The plaintiffs include Methodist Healthcare System of San Antonio, St. David’s HealthCare, HCA Houston Healthcare North Cypress, The Woman’s…

Twenty-one states, plus the District of Columbia, filed a lawsuit Sept. 2 against HHS and CMS, challenging a rule that will cut off Medicaid and CHIP federal funds for youth gender-affirming care. The rule, released in August and set to…

Ontario, Calif.-based Prime Healthcare has sued the California Nurses Association, an affiliate of National Nurses United, as well as NNU, alleging the union targeted its CEO and other executives and their families with harassment and intimidation near their homes.  The…