Topeka, Kan.-based Stormont Vail Health and Kansas Legal Services have reached an agreement to resolve 11 medical debt lawsuits filed by the health system. The collection cases spanned five Kansas counties and sought payment for outstanding medical bills from patients…
Legal & Regulatory Issues
CVS Health and its long-term care pharmacy subsidiary, Omnicare, have reached a Justice Department settlement with a $440 million floor. The settlement would resolve a false claims case that resulted in a nearly $950 million judgment. A jury had previously…
The law firm representing the shuttered Oak Park, Ill.-based West Suburban Medical Center’s parent company, Resilience Healthcare, on July 6 filed a motion to withdraw its counsel, according to court documents obtained by Becker’s. Momkus LLP’s motion pointed to “fundamental…
Texas Gov. Greg Abbott has directed the Texas Health and Human Services Commission to investigate Mission (Texas) Regional Medical Center over allegations it marketed “birth tourism” packages to foreign nationals seeking U.S. citizenship for their children. In a July 7…
Tampa General (Fla.) Hospital has sued Eli Lilly and Lilly USA, alleging the drugmaker’s decision to cut off the hospital’s 340B pricing access violates Florida’s Deceptive and Unfair Trade Practices Act. According to the July 2 complaint, filed in the…
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Three federal lawsuits are forming a tapestry of litigation related to the future of the ACA marketplace. In recent years, CMS has pitched rules focused on promoting marketplace “integrity” by tightening eligibility, altering enrollment periods and narrowing subsidy access, to…
Pensacola, Fla.-based Baptist Health Care has agreed to pay $5 million to settle a medical malpractice lawsuit brought by a patient who alleged an eight-month delay in diagnosing her breast cancer after a radiologist interpreted her imaging as normal, according…
Elevance Health is suing CMS over its 2026 Medicare Advantage star ratings, arguing the agency gave competitor Clover Health a favorable recalculation after losing a court case to the insurer in May. In its July 1 complaint filed in the…
Livonia, Mich.-based Trinity Health, Davenport, Iowa-based Genesis Health System and Mercy Health Network have agreed to pay more than $4.64 million to resolve allegations that Genesis overbilled the federal government for its use of the Impella heart pump device. The…
The House Ways and Means Committee passed the “Tax Exempt Hospital Transparency Act” on July 1, advancing legislation that would require nonprofit hospitals to disclose more details on their IRS Form 990. The bill, known as HR 9504, has drawn…