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Legal & Regulatory Issues

From a Texas hospital suffering a setback in its lawsuit against a major insurer over network exclusion to a California hospital agreeing to pay $7.5 million to settle a data breach class-action case, here are the latest healthcare industry lawsuits…

Carlos Medina, owner of two medical clinics in the Miami area, has received a prison sentence just shy of 7 years — 82 months, precisely — for his role in a Medicare fraud scheme, according to the Department of Justice.

Boston-based Steward Health Care and New Bedford, Mass.-based Southcoast Health System are involved in a bitter struggle over market share, and Southcoast suffered a setback in the battle this week.

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The U.S. Supreme Court March 23 will hear a fourth challenge of the Affordable Care Act, one that focuses on a controversial mandate that employer-sponsored health plans cover contraceptives and the opt-out that allows women to obtain contraception coverage elsewhere.

Blue Cross and Blue Shield of North Carolina, which has been in hot water this year due to problems due to a new system, has shared four thoughts on how to improve the Affordable Care Act, according to The News…

In an effort to improve patient care quality and decrease coverage costs, Covered California — California's Affordable Care Act insurance marketplace — is considering removing low-performing or high cost hospitals from its network, according to NPR.

Police were in hot pursuit this morning of a 38-year-old woman who stole an ambulance from Oklahoma City, Okla.-based St. Anthony Hospital early Friday morning, according to a report from KOCO-TV in Oklahoma City.

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