Legal & Regulatory Issues

The Supreme Court is expected to rule this month on King v. Burwell. If the judges rule in favor of King, who is challenging the legality of health insurance subsidies provided to low- and middle-income people through the federal HealthCare.gov…

The following hospitals, health systems and healthcare companies entered into settlement agreements to resolve alleged violations of the False Claims Act, the Anti-Kickback Statute or Stark Law since January.

Hospitals have multiple physician contracts.The arrangement may be for a medical directorship, a co-management contract, on-call, teaching, research or clinical guidance for clinical integration strategies.

Thirty-three healthcare lawsuits filed under the qui tam, or whistle-blower, provisions of the False Claims Act have been unsealed since March, according to a National Law Review report.

From healthcare providers accusing Blue Cross and Blue Shield of acting as a cartel to Cleveland Clinic being hit with a federal lawsuit over a hospital closure, here are the latest healthcare industry lawsuits and settlements.

Health Management Associates in Naples, Fla., and Clearview Regional Medical Center in Monroe, Ga., which are both owned by Franklin, Tenn.-based Community Health Systems, have agreed to pay the federal government $595,155 to settle kickback allegations, according to the Department…

Yadkin Valley Community Hospital in Yadkinville, N.C., closed last month with little notice from hospital administrators, and county officials have now filed a federal lawsuit against the privately owned company that manages the hospital.

HHS' Office of Inspector General recovered $1.8 billion from healthcare providers and programs in the first six months of fiscal 2015, according to the OIG's Semiannual Report to Congress.

The U.S. District Court for the Southern District of Illinois has dismissed exclusive dealing allegations against BlueCross and BlueShield of Illinois, but a hospital that was also named in the antitrust lawsuit was not as lucky, according to a JD…

East Texas Medical Center Tyler has filed a lawsuit in excess of $1 million against three of the largest health insurance companies in the state — Blue Cross Blue Shield of Texas, Aetna and Cigna — claiming exclusion from their…