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Healthcare regulatory, compliance and policy news

Becker’s reports on healthcare fraud enforcement, new CMS and state regulations, and what each changes for billing, licensure and clinical operations.



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A rheumatologist from Mission, Texas, was sentenced to 10 years for falsely diagnosing patients with chronic illnesses and billing insurers for more than $118 million in fraudulent claims.  Five things to know: 1. Jorge Zamora-Quezada, MD, 68, falsely diagnosed patients…

Tensions between the federal government and Cambridge, Mass.-based Harvard University have intensified in recent days, with federal officials now moving to end all remaining financial ties with the university, The New York Times reported May 27. Six updates: 1. The…

The former COO of Jackson Health Foundation — the fundraising arm of Miami-based Jackson Health System — has been charged in a federal indictment for allegedly embezzling from the foundation by submitting false invoices and receiving kickbacks, according to a…

Medicare could face nearly $500 billion in cuts over the next decade under Republicans’ “One Big Beautiful Bill Act,” which also proposes significant reductions to Medicaid and other healthcare programs. According to a May 20 report from the nonpartisan Congressional…

A UnitedHealth Group program allegedly incentivized nursing homes to avert medically necessary hospital transfers for their residents, according to an investigation by The Guardian.  The program places UnitedHealth employees at about 2,200 nursing homes across the country. The Guardian reported…

A California jury has awarded $147 million in damages to medical device reprocessor Innovative Health after finding that Johnson & Johnson subsidiary Biosense Webster illegally restricted hospitals’ access to clinical support when they used reprocessed catheters instead of new ones. …

A former patient of Buffalo, N.Y.-based Catholic Health is suing agentic AI company Serviceaide over a 2024 data breach that allegedly exposed the private information of 483,126 individuals. Here are six things to know about the lawsuit: According to Serviceaide,…

Yorai “Benny” Benzeevi, MD, former CEO of Healthcare Conglomerate Associates, is facing disciplinary action from the Medical Board of California, which is seeking to suspend or revoke his medical license. The April 24 filing follows his Nov. 14 sentencing by…

Police are investigating a shooting that occurred May 20 outside the emergency department at UPMC McKeesport (Pa.), part of Pittsburgh-based UPMC. The Allegheny County Police Department responded to the incident around 3:15 a.m. and found an adult male who had…

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