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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 California court judge has rejected Providence St. Joseph Hospital’s attempt to dismiss a lawsuit alleging it unlawfully denied an emergency abortion to a woman with a life-threatening condition.  On May 5, Judge Timothy Canning of the Humboldt County Superior…

House Republicans unveiled legislation May 11 that would introduce Medicaid work requirements nationwide and stricter eligibility requirements. The 160-page bill, introduced by the House Energy and Commerce Committee as part of a broader budget reconciliation package, aims to reduce federal…

Four states have joined a federal whistleblower lawsuit against CVS Pharmacy, alleging the company of overbilling state Medicaid programs for prescription drugs.  Attorneys general from Connecticut, Massachusetts, Indiana and Oklahoma are participating in the suit, which was originally filed in…

A New York man was sentenced to 14 months in prison for leading a $48 million Medicare fraud scheme.  Five things to know: 1. Manishkumar Patel, 44, of Pelham Manor, was sentenced after pleading guilty to conspiring to commit health…

For $750 million, Columbia University and its affiliate New York-Presbyterian Hospital in New York City have settled a class action lawsuit with 576 patients who reported sexual abuse or misconduct by a former gynecologist, according to a May 5 news…

CMS Administrator Mehmet Oz, MD, is pushing for major reforms to the Medicaid program, according to comments he made May 6 at the 2025 Milken Institute Global Conference, per Fox Business. Dr. Oz told the news outlet that there is…

Warren, Ohio Mayor Doug Franklin has written a letter to state Attorney General David Yost asking his office to investigate Dallas-based Steward Health Care regarding Medicaid funding at its former hospitals, Insight Hospital and Medical Center Trumbull and Hillside Rehabilitation…

A Louisiana nurse practitioner was convicted by a federal jury for her role in a $2 million Medicare fraud scheme. Four things to know: Shanone Chatman-Ashley, 45, of Opelousas, worked as an independent contractor for a company that claimed to…

The Federal Trade Commission and the Justice Department issued a joint letter May 5 directing federal government agency leaders to develop a list of anticompetitive regulations that lessen competition, entrepreneurship and innovation.  The letter aims to advance President Donald Trump’s…

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