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New Mexico hospital responds to notice of breach from city
Las Cruces, N.M.-based Memorial Medical Center has shared some of the documents requested in a notice of breach letter sent by the city. -
Physician assistant gets prison for $10M Medicare fraud scheme
A physician assistant from Monroe, N.C., was sentenced to six years in prison for his role in a genetic testing scheme involving $10 million in fraudulent Medicare claims. -
Avera Nebraska hospital temporarily closed after nearby explosion: 5 things to know
O'Neill, Neb.-based Avera St. Anthony's Hospital temporarily closed Oct. 7 after it was damaged by an early morning explosion near its campus. -
Indiana physician sentenced to prison for fraud scheme
An Indiana physician was sentenced to one year and one day in prison after pleading guilty to healthcare fraud. -
Texas sues insulin makers, PBMs: 5 things to know
Texas Attorney General Ken Paxton has filed a lawsuit against major insulin manufacturers and pharmacy benefit managers over an alleged conspiracy to increase insulin prices. -
10 recent healthcare industry lawsuits, settlements
From UnitedHealthcare suing to prevent CMS from downgrading its Medicare Advantage star ratings, to California's attorney general suing a hospital after a woman was denied an emergency abortion, here are 10 recent healthcare industry lawsuits, settlements and legal developments Becker's has reported since Sept. 24: -
Former Texas hospital CEO to pay $5.3M to resolve false claims case
The former CEO of a Texas hospital has agreed to pay more than $5.3 million to resolve allegations under the False Claims Act involving laboratory testing. -
California sues 2nd hospital in a week
California attorney general Rob Bonta filed a lawsuit against AHMC Healthcare on Oct. 2, claiming the Alhambra-based health system's service reductions at one Bay Area hospital and closure of another facility violate conditions set by the state when it acquired the facilities in 2020. -
DOJ supports workers in antitrust case against UPMC
The Department of Justice has filed a statement of interest siding with UPMC workers in an ongoing antitrust lawsuit alleging the Pittsburgh-based health system prevented workers from exiting or improving their working conditions, suppressed their wages and benefits, and increased their workloads. -
Chicago lab owner pleads guilty to $14M fraud scheme
The owner of a Chicago laboratory pleaded guilty to his role in a $14 million COVID-19 testing fraud scheme. -
Consumer Finance Protection Bureau puts RCM companies on notice over debt collection practices
The Consumer Financial Protection Bureau issued an advisory opinion on Oct. 1 warning debt collectors — including third-party revenue cycle management companies — that they are violating federal law when they collect on inaccurate or invalid medical debts. -
Ex-Tenet execs face $400M kickback trial
A $400 million fraud and kickback case against former Tenet Healthcare executives may finally advance to trial after federal investigators received the green light to use statements from 10 alleged co-conspirators, The Atlanta Journal-Constitution reported Sept. 30. -
Hospital, lab, physician pay $7.2M to settle fraud allegations
A hospital, a laboratory, three lab employees, a referring physician and his office manager agreed to collectively pay more than $7.2 million to resolve allegations they defrauded healthcare programs through unnecessary or tainted laboratory testing. -
New California law mandates notice for hospital unit closures
Gov. Gavin Newsom signed Senate Bill 1300 into law Sept. 28, which requires hospitals to notify the state when planning to close labor and delivery or psychiatric units, according to a Sept. 29 CalMatters report. -
Owner of home health companies convicted of Medicaid fraud
The owner of three Ohio-based home healthcare companies was convicted on all 13 charges against her in a Medicaid fraud scheme. -
Former pharmacy CFO, president plead guilty to roles in $33M fraud scheme
The former CFO and president of a New Jersey-based pharmacy pleaded guilty to their roles in a $33 million compounded medication kickback scheme. -
New Jersey sues Virtua over pregnancy drug tests: 6 things to know
New Jersey state Attorney General Matt Platkin filed a lawsuit on Sept. 26 against Virtua Health and its network of hospitals in Voorhees, Mount Holly and Camden, alleging that the Marlton, N.J.-based health system's drug-testing policy for pregnant patients is discriminatory and violates patients' privacy. -
Acadia faces more scrutiny following $20M settlement: 8 things to know
Franklin, Tenn.-based Acadia Healthcare has agreed to pay $19.85 million to settle allegations that it submitted false claims for unnecessary behavioral health services, the Justice Department said Sept. 26. -
Former CEO sues Missouri hospital for discrimination: 5 things to know
Hayti, Mo.-based Pemiscot Memorial Health Systems is being sued by its former CEO after she claimed she faced discrimination and retaliation. -
21 states accuse pediatrics group of possible consumer violations over gender care
Officials from 21 states, led by Idaho Attorney General Raúl Labrador, have accused the American Academy of Pediatrics of potentially failing to adhere to consumer protections with respect to gender care policies.
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