Legal & Regulatory Issues

Police are investigating a drug overdose that left one woman dead and one man unresponsive Thursday at Cincinnati Children's Hospital Medical Center.

After Aetna announced plans to leave America's Health Insurance Plans Jan. 5, sources have been curiously evaluating the decision and its impacts, according to The Hill.

UnitedHealth, the biggest insurer in the nation, is concerned its rates for Affordable Care Act plans in New York might be too low, according to Crain's New York Business.

Eagan-based Blue Cross and Blue Shield of Minnesota was charged $20,000 in late 2015 for denying a patient's claim for healthcare services, according to the Star Tribune.

The death of Christopher Robert, DO, the chief of anesthesiology at Hennepin County Medical Center in Minneapolis, has been ruled accidental, according to the Star Tribune.

A 57-year-old woman who died after being forcibly removed from a Florida hospital lay next to a police officer's car in a parking lot for nearly 18 minutes before a physician readmitted her, according to a police dash-cam audio and…

Nashville (Tenn.) Pharmacy Services agreed to pay the federal government $7.8 million to resolve allegations it charged Medicare and TennCare for medications for dead patients, according to the Department of Justice.  

In early November 2015, CMS issued revisions to its requirements for discharge planning for hospitals, critical access hospitals and home health. The American Hospital Association generally supports the rule but is urging CMS to make some key changes, according to…

Standpoint, Idaho-based Bonner General Health's former CFO, Norilina Harvel, will stand trial for felony theft, according to the Bonner County Daily Bee.

Major court case rulings and a change in enforcement focus made 2015 a significant year in the False Claims Act arena, and this year is poised to be a significant one as well.