A dermatologist with a practice in Lombard, Ill., has been sentenced to seven years in prison for defrauding Medicare and private insurers by submitting false claims for thousands of patients that totaled more than $3.7 million, according to the Department…
Legal & Regulatory Issues
The Obama administration on Thursday issued a long-awaited proposed rule to advance health equality and reduce disparities in healthcare. The new rule aims to bolster civil rights protections for the transgender community and other populations that have been most vulnerable…
Experienced healthcare executives know the workplace can be a legal minefield, especially in employment law matters—and with a number of recent rulings and new regulations, the hazards are even greater.
The following insurers made headlines this week. They are listed below, beginning with the most recent.
A newly unsealed whistle-blower lawsuit alleges two major hospitals in North Carolina artificially inflated their expenses to fraudulently obtain tens of millions of dollars from Medicare and Medicaid, according to a Charlotte Observer report.
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The Department of Justice announced Tuesday Hoffmann Estates, Ill.-based Kmart has paid $1.4 million to settle allegations it violated the False Claims Act by knowingly inducing Medicare beneficiaries to fill their prescriptions at Kmart pharmacies.
The U.S. Department of Justice announced support of Planned Parenthood in its lawsuit against Louisiana for attempting to cut Medicaid funds to the program, according to The Hill.
An antitrust lawsuit against UPMC and Highmark, both based in Pittsburgh, will move forward after U.S. District Judge Joy Flower Conti denied a motion by the two health giants to dismiss it, according to a Pittsburgh Post-Gazette report.
A whistle-blower lawsuit filed by a former emergency department nurse at Lawrence (Kan.) Memorial Hospital claiming the hospital falsified patient records to obtain higher Medicare and Medicaid payments has been unsealed, according to a KCUR report.
The trial of Hsiu-Ying "Lisa" Tseng, DO, began Monday for the alleged murder of three young men who all died of overdoses after she prescribed them painkillers from her clinic in Rowland Heights, Calif., according to a Washington Post report.