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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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From a software provider accusing Epic of anticompetitive practices to four states joining a whistleblower lawsuit against CVS Pharmacy, here are 10 recent healthcare industry lawsuits, settlements and legal developments that Becker’s has reported since May 7:  1. A federal…

A federal judge has upheld HHS authority to oversee and regulate proposals to the 340B Drug Pricing Program, rejecting efforts of several major pharmaceutical companies to impose rebate-based discount models without government approval, Bloomberg Law reported May 16.  In a…

Martins Ferry-based East Ohio Regional Hospital is refuting allegations made in a class-action lawsuit filed by former employees in April, according to The Intelligencer. Former employees filed the lawsuit against the now-closed hospital and its owner and CEO, John Johnson,…

Lewiston, Maine-based St. Mary’s Health System has filed a motion to dismiss its lawsuit against HHS, which accused the department of unlawfully withholding Medicare payments from the cash-strapped system, the Sun Journal reported May 14.  In a one-page motion, St.…

A Florida man was sentenced May 14 to two years in federal prison for evading about $2.4 million in income taxes related to his medical equipment sales, according to the Justice Department.  Roger Whitman generated millions of dollars between 2002…

Fresno, Calif.-based Community Health System and its affiliate Physician Network Advantage have agreed to pay $31.5 million to settle allegations they provided extravagant benefits to physicians in exchange for patient referrals to the system’s facilities. Five things to know: 1.…

On May 14, California Gov. Gavin Newsom proposed additional state oversight on pharmacy benefit managers, which negotiate drug prices between payers and drugmakers. In a revised 2025-2026 budget, the governor penned several oversight strategies regarding PBMs, according to a news…

CureIS Healthcare, a software provider focused on managed care, has filed a lawsuit against health IT giant Epic Systems, accusing it of unfair competition and illegal interference. Here are five things to know: “Epic believes in free and fair competition,…

The American Hospital Association and a coalition of healthcare groups, including 340B Health, the Nebraska Hospital Association and the American Society of Health-System Pharmacists, filed a brief in support of Nebraska’s new law reinforcing protections for the federal 340B drug…

Four people have been sentenced for their roles in a kickback conspiracy that resulted in more than $110 million in fraudulent claims being submitted to federal health programs.   Three things to know:  1. John Rodriguez, Mohammad Chowdhury, Hector de la…

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