Highmark, the largest insurer in Pennsylvania, has filed a lawsuit against Pittsburgh-based UPMC in the Allegheny County Court of Common Pleas alleging UPMC overbilled the health insurer by $300 million for oncology services.
Legal & Regulatory Issues
The American Hospital Association has sent a letter to the House Ways and Means Subcommittee on Health Chairman Kevin Brady (R-Texas) expressing its view on draft legislation he released a discussion of in August.
Two former ArthroCare executives received prison sentences for their involvement in a $750 million securities fraud scheme, according to the Department of Justice.
Daniel K. Lane, Jr., the vice president and CFO of St. Louis-based Compass Healthcare — a durable medical equipment business — has pleaded guilty to conspiring to commit healthcare fraud, according to the Department of Justice.
Many medical malpractice awards over $1 million could be prevented by targeted intervention by healthcare organizations to reduce diagnosis errors, according to a recent study by researchers from JohnsHopkinsMedicalCenter in Baltimore and published in the Journal for Healthcare Quality.
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The government and whistle-blowers have shifted their focus from drug manufacturers to parties that regularly contract with manufacturers, including Medicare Part D plan sponsors, as a target for False Claims Act investigations and lawsuits, according to a National Law Review…
The following is a roundup of healthcare industry lawsuits, lawsuit updates and settlements reported in the last two weeks, beginning with the most recent.
The state of Oregon has filed a lawsuit against Oracle — the primary developer of Oregon's online health exchange — and several of the company's executives alleging officials from Oracle made false statements, breached contracts and engaged in "a pattern…
The Obama administration is moving forward with regulations that would allow the government to cover contraceptives for female employees who are employed by companies that have religious objections to the Patient Protection and Affordable Care Act's contraception requirements, according to…
A 16-count indictment was unsealed in federal court charging Harold Persaud, MD, with performing unnecessary catheterizations, tests and stent insertions, and causing unnecessary coronary artery bypass surgeries as part of a scheme to overbill Medicare and private insurers by $7.2…