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Legal & Regulatory Issues

CMS is appealing its court loss that led to boosts in Clover Health’s 2026 Medicare Advantage star ratings. The case will now move to the U.S. Court of Appeals for the Eleventh Circuit, according to a July 21 court filing.  Clover sued CMS in…

The Department of Education’s Office of Civil Rights launched investigations into five additional medical schools for alleged racial discrimination in admissions. The investigations are part of a joint effort with HHS and the Justice Departments’ civil rights offices to eliminate…

Detroit-based Henry Ford Health sued CVS Health on July 16, alleging the pharmacy chain and its affiliates diverted more than $29 million in 340B drug savings owed to the health system through an unlawful reimbursement scheme. The lawsuit alleges CVS…

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The Justice Department found that two University of California medical schools discriminated based on race in admissions. On July 20, University of California San Diego School of Medicine was found to use “race-neutral” subjective criteria to increase admission of underrepresented…

Chapel Hill, N.C.-based UNC Health hospitals have voluntarily dismissed two lawsuits against Humana over alleged 340B drug underpayments, according to July court filings. UNC Health Care System and affiliated hospitals dismissed their case against Humana and ChoiceCare Network July 17…

President Donald Trump signed three proclamations July 20 imposing an additional 50% tariff on Canadian goods covering motor vehicles, alcoholic beverages and dairy products, according to a White House news release.  The move follows the Supreme Court’s Feb. 20 ruling…

The Department of Homeland Security updated a “public charge” policy to allow more immigrants to be disqualified from getting a green card if they use public benefits such as Medicaid, according to a notice published in the Federal Register. “This…

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