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Former Kentucky hospital nurse charged with patient credit card fraud
A nurse previously employed by Baptist Hospital East in Louisville, Ky., was arrested July 1 for allegedly using patients' stolen credit cards, according to ABC affiliate WHAS. -
Illinois physician pleads guilty to fraud
An Illinois physician has pleaded guilty to billing Medicaid and private insurers for nonexistent services. -
DOJ looking into Prospect Medical Holdings, court documents reveal
The Justice Department issued a civil investigation demand to Los Angeles-based Prospect Medical Holdings on Nov. 3, according to a June 27 court document filed by Prospect. -
Hackensack Meridian sues HHS secretary in wake of Chevron ruling
In the wake of the Supreme Court's overturning of Chevron deference, Edison, N.J.-based Hackensack Meridian Health has filed a lawsuit against HHS Secretary Xavier Becerra challenging what the system calls the secretary's "irrational and unlawful interpretation of the statutes he is entrusted to administer." -
New hospital price transparency rule goes into effect
The new CMS price transparency rule went into effect July 1, requiring hospitals to report price information in a standard machine-readable format, according to the American Hospital Association. -
Tennessee physician sentenced for $4M fraud scheme
A podiatrist in Memphis, Tenn., was sentenced to four years in prison for a scheme to defraud Medicare and the state's Medicaid program out of nearly $4 million in foot bath medication reimbursements. -
Drug researcher charged in $16M case
A lead researcher for an Alzheimer's drug candidate was indicted June 27 in a case alleging he fabricated data, according to the Justice Department. -
Jefferson Health hospital cited for aggressive handling of patient
In May, surveyors issued Jefferson Health's Abington (Pa.) Hospital an immediate jeopardy warning after determining a security guard used excessive force against a psychiatric patient who had not displayed aggressive behavior, according to an inspection report obtained by The Philadelphia Inquirer. -
Outcome Health CEO, CFO sentenced for roles in $1B fraud scheme
Rishi Shah, co-founder and former CEO of healthcare technology startup Outcome Health, has been sentenced to seven and a half years in prison for his role in a scheme involving about $1 billion in fraudulently obtained funds, the Chicago Tribune reported June 26. -
Optum to pay $20M to settle improper prescription allegations
OptumRx will pay $20 million to settle allegations it improperly dispensed some opioid medications, the Justice Department said June 27. -
How the Supreme Court's Chevron deference ruling could affect healthcare
The Supreme Court in a 6-3 ruling overturned a 40-year-old legal precedent known as Chevron deference, the Washington Post reported June 28. -
Justice Department charges nearly 200 for $2.8B healthcare fraud schemes
The Justice Department has filed criminal charges against 193 defendants for their alleged participation in healthcare fraud schemes that involved around $2.75 billion in intended losses and $1.6 billion in actual losses. -
Home health company settles fraud allegations
Home health company VNS Health has agreed to pay nearly $1 million to settle allegations that it fraudulently billed Medicaid for Assertive Community Treatment Services that it failed to provide or document. -
64 drugs getting temporary price cuts
Beginning July 1, the cost of 64 prescription drugs will be reduced through Medicare Part B for some enrollees, the Biden administration announced June 26. -
Health plans accuse Hartford HealthCare of monopoly, price fixing
Two health plans filed a proposed class action lawsuit against Hartford (Conn.) HealthCare June 14, alleging unlawful monopolization and price fixing. The health plans allege Hartford's dominance in the area allowed the system to inflate prices. -
Supreme Court allows emergency abortions in Idaho: Report
The Supreme Court officially ruled in favor of permitting emergency abortions in Idaho to protect maternal health June 27, after a document leaked momentarily the day prior giving a public preview of the decision. -
10 recent healthcare industry lawsuits, settlements
From Arkansas' attorney general filing a lawsuit against Optum Rx and Express Scripts to Sutter Health beating a whistleblower's double-billing allegations, here are 10 recent healthcare industry lawsuits, settlements and legal developments Becker's has reported since June 17: -
2 pharmacy owners sentenced in $18M money laundering case
Two former owners of New York pharmacies who pleaded guilty to an $18 million healthcare fraud scheme were sentenced to 14 collective years in prison. -
Hospice owner sentenced to 6 years in prison for fraud
The former owner of a hospice care company was sentenced to 72 months in prison and ordered to pay more than $3.6 million in restitution for her role in a healthcare fraud scheme. -
Baylor St. Luke's to pay $15M to settle concurrent heart surgery allegations
Houston-based Baylor St. Luke's Medical Center, Baylor College of Medicine and Surgical Associates of Texas have jointly agreed to pay $15 million to resolve claims they billed for concurrent heart surgeries that violated CMS teaching physician and informed consent regulations.
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