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Legal & Regulatory Issues

Legal & Regulatory Issues

  • Democratic-led states want expedited Supreme Court review of the ACA challenge

    Twenty Democratic-led states and the District of Columbia want the U.S. Supreme Court, by the end of this term, to review a ruling that found the ACA’s individual mandate unconstitutional.
  • 2 San Diego physicians pay $949K to settle billing fraud allegations

    Two physicians specializing in ophthalmology recently paid the federal government nearly $949,000 to resolve allegations that they violated the False Claims Act, according to the Department of Justice.
  • 8 latest healthcare industry lawsuits, settlements

    From a physician charged with murder suing an Ohio hospital for defamation to patients suing an Alabama health system after a ransomware attack, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Family of incapacitated Hacienda patient who gave birth sues physicians

    The family of an incapacitated woman who was raped and gave birth at Phoenix-based Hacienda Healthcare in December 2018 is suing her physicians, their employers and the state of Arizona, reports 3TV and CBS 5 affiliate Arizona’s Family.
  • Beth Israel Deaconess researcher arrested for attempting to smuggle lab samples to China

    A Chinese cancer researcher is being held without bail after stealing biological samples from Boston-based Beth Israel Deaconess Medical Center with the intent to publish results in China, The New York Times reports.
  • Dignity Health’s $100M ERISA class-action settlement was largest of 2019

    Two health systems and a hospital agreed to pay a combined $164 million in 2019 to resolve allegations that they used a religious Employee Retirement Income Security Act exemption they weren’t entitled to, according to Bloomberg Law.
  • Dallas healthcare executive sentenced for role in $450M billing fraud scheme

    A Dallas healthcare executive was recently sentenced to 5.5 years in prison for his role in two healthcare fraud schemes, according to the Department of Justice.
  • Physician charged with murder sues Ohio hospital for defamation

    William Husel, DO, who has been charged with 25 counts of murder, is suing Columbus, Ohio-based Mount Carmel Health System, its former CEO and its parent company for defamation, according to The Columbus Dispatch.
  • Vermont ACO whistleblower plans to abandon False Claims case 

    A whistleblower who alleged Colchester-based OneCare Vermont was knowingly using unreliable data and a faulty analytics platform has decided to drop litigation against the state’s only ACO.
  • Physician group will refund Medicare $829K to resolve improper billing case

    VPA, a physician group that provides home-based care to patients in 12 states, and its management services affiliate agreed to repay the federal government $829,611, to resolve allegations that they billed Medicare for medically unnecessary physician visits, according to the U.S. Justice Department.
  • Court revives whistleblower lawsuit against UPMC neurosurgeons

    An appellate court is backing the reinstatement of a lawsuit filed by three former UPMC employees claiming the health system’s neurosurgeons violated the Stark Law and the Anti-Kickback Statute, according to the Pittsburgh Post-Gazette.
  • Owner, COO of Texas urgent care clinics charged in bribery scheme

    The owner and COO of TPC Family Medicine and Urgent Care Clinics in San Antonio and Laredo, Texas, were arrested Dec. 19 and charged for their alleged roles in a bribery and kickback scheme, according to the Department of Justice.
  • 13 latest healthcare industry lawsuits, settlements

    From Sutter Health agreeing to pay $575 million to end an antitrust case to a former nurse accused of secretly recording hundreds of patients at a Pennsylvania hospital, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Sutter Health to pay $575M to settle antitrust case

    Sutter Health, a 24-hospital system based in Sacramento, Calif., has agreed to pay $575 million to settle an antitrust case brought by employers and California Attorney General Xavier Becerra.
  • Former nurse accused of secretly recording 206 patients at UPMC hospital

    A former nurse at UPMC Carlisle (Pa.) faces criminal charges for allegedly secretly videotaping 206 patients, including nearly two-dozen minors, while he worked at the hospital, Pennsylvania Attorney General Josh Shapiro said in a Dec. 18 news release.
  • ACA mandate ruled unconstitutional

    The ACA’s individual mandate to buy health insurance is unconstitutional, according to a Dec. 18 decision from the Fifth Circuit Court of Appeals. The court did not issue an opinion on whether the entire law is therefore unconstitutional, instead sending that decision back to a district court judge in Texas to decide.
  • Retired CEO of Memorial Healthcare faces sexual harassment allegations

    Hollywood, Fla.-based Memorial Healthcare System’s former attorney recently added allegations of sexual harassment to a wrongful termination lawsuit filed earlier this year, according to the South Florida Sun Sentinel.
  • Massachusetts hospital settles false billing case

    Cooley Dickinson Hospital in Northampton, Mass., has entered into a settlement with the federal government to resolve the allegation that it submitted claims for medically unnecessary testing to Medicare and Medicaid, according to the Department of Justice.
  • Ohio physician charged with murder must face civil lawsuits, court rules

    A ruling from an Ohio appeals court earlier this month will allow dozens of wrongful death cases against a physician and an Ohio health system to move forward, according to The Columbus Dispatch.
  • 9 latest healthcare industry lawsuits, settlements

    From a nurse suing a Pennsylvania hospital over its flu shot policy to a health system paying $6 million to settle a data breach lawsuit, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Democratic-led states want expedited Supreme Court review of the ACA challenge

    Twenty Democratic-led states and the District of Columbia want the U.S. Supreme Court, by the end of this term, to review a ruling that found the ACA’s individual mandate unconstitutional.
  • 2 San Diego physicians pay $949K to settle billing fraud allegations

    Two physicians specializing in ophthalmology recently paid the federal government nearly $949,000 to resolve allegations that they violated the False Claims Act, according to the Department of Justice.
  • 8 latest healthcare industry lawsuits, settlements

    From a physician charged with murder suing an Ohio hospital for defamation to patients suing an Alabama health system after a ransomware attack, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Family of incapacitated Hacienda patient who gave birth sues physicians

    The family of an incapacitated woman who was raped and gave birth at Phoenix-based Hacienda Healthcare in December 2018 is suing her physicians, their employers and the state of Arizona, reports 3TV and CBS 5 affiliate Arizona’s Family.
  • Beth Israel Deaconess researcher arrested for attempting to smuggle lab samples to China

    A Chinese cancer researcher is being held without bail after stealing biological samples from Boston-based Beth Israel Deaconess Medical Center with the intent to publish results in China, The New York Times reports.
  • Dignity Health’s $100M ERISA class-action settlement was largest of 2019

    Two health systems and a hospital agreed to pay a combined $164 million in 2019 to resolve allegations that they used a religious Employee Retirement Income Security Act exemption they weren’t entitled to, according to Bloomberg Law.
  • Dallas healthcare executive sentenced for role in $450M billing fraud scheme

    A Dallas healthcare executive was recently sentenced to 5.5 years in prison for his role in two healthcare fraud schemes, according to the Department of Justice.
  • Physician charged with murder sues Ohio hospital for defamation

    William Husel, DO, who has been charged with 25 counts of murder, is suing Columbus, Ohio-based Mount Carmel Health System, its former CEO and its parent company for defamation, according to The Columbus Dispatch.
  • Vermont ACO whistleblower plans to abandon False Claims case 

    A whistleblower who alleged Colchester-based OneCare Vermont was knowingly using unreliable data and a faulty analytics platform has decided to drop litigation against the state’s only ACO.
  • Physician group will refund Medicare $829K to resolve improper billing case

    VPA, a physician group that provides home-based care to patients in 12 states, and its management services affiliate agreed to repay the federal government $829,611, to resolve allegations that they billed Medicare for medically unnecessary physician visits, according to the U.S. Justice Department.
  • Court revives whistleblower lawsuit against UPMC neurosurgeons

    An appellate court is backing the reinstatement of a lawsuit filed by three former UPMC employees claiming the health system’s neurosurgeons violated the Stark Law and the Anti-Kickback Statute, according to the Pittsburgh Post-Gazette.
  • Owner, COO of Texas urgent care clinics charged in bribery scheme

    The owner and COO of TPC Family Medicine and Urgent Care Clinics in San Antonio and Laredo, Texas, were arrested Dec. 19 and charged for their alleged roles in a bribery and kickback scheme, according to the Department of Justice.
  • 13 latest healthcare industry lawsuits, settlements

    From Sutter Health agreeing to pay $575 million to end an antitrust case to a former nurse accused of secretly recording hundreds of patients at a Pennsylvania hospital, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Sutter Health to pay $575M to settle antitrust case

    Sutter Health, a 24-hospital system based in Sacramento, Calif., has agreed to pay $575 million to settle an antitrust case brought by employers and California Attorney General Xavier Becerra.
  • Former nurse accused of secretly recording 206 patients at UPMC hospital

    A former nurse at UPMC Carlisle (Pa.) faces criminal charges for allegedly secretly videotaping 206 patients, including nearly two-dozen minors, while he worked at the hospital, Pennsylvania Attorney General Josh Shapiro said in a Dec. 18 news release.
  • ACA mandate ruled unconstitutional

    The ACA’s individual mandate to buy health insurance is unconstitutional, according to a Dec. 18 decision from the Fifth Circuit Court of Appeals. The court did not issue an opinion on whether the entire law is therefore unconstitutional, instead sending that decision back to a district court judge in Texas to decide.
  • Retired CEO of Memorial Healthcare faces sexual harassment allegations

    Hollywood, Fla.-based Memorial Healthcare System’s former attorney recently added allegations of sexual harassment to a wrongful termination lawsuit filed earlier this year, according to the South Florida Sun Sentinel.
  • Massachusetts hospital settles false billing case

    Cooley Dickinson Hospital in Northampton, Mass., has entered into a settlement with the federal government to resolve the allegation that it submitted claims for medically unnecessary testing to Medicare and Medicaid, according to the Department of Justice.
  • Ohio physician charged with murder must face civil lawsuits, court rules

    A ruling from an Ohio appeals court earlier this month will allow dozens of wrongful death cases against a physician and an Ohio health system to move forward, according to The Columbus Dispatch.
  • 9 latest healthcare industry lawsuits, settlements

    From a nurse suing a Pennsylvania hospital over its flu shot policy to a health system paying $6 million to settle a data breach lawsuit, here are the latest healthcare industry lawsuits and settlements making headlines.

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