• Local pharmacies sue CVS and its PBM

    A proposed class-action lawsuit was filed Sept. 26 against CVS Health and CVS Caremark because of allegations the PBM required pharmacies to pay fees for Medicare Part D prescriptions.
  • Owner of telemedicine companies pleads guilty in $44M fraud scheme

    The owner of two telemedicine companies pleaded guilty to his role in a $44 million fraud scheme involving medically unnecessary durable medical equipment.
  • Louisiana system beats FTC's challenge over 3-hospital acquisition

    A New Orleans federal judge has ruled that LCMC Health sought the correct state approvals for its $150 million acquisition of three Tulane University hospitals from Nashville, Tenn.-based HCA Healthcare in January, according to nola.com.
  • Tips on strengthening vendor risk management for healthcare compliance

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  • California law to protect clinicians offering out-of-state abortion care

    California clinicians who provide abortion, contraception or gender-affirming care services to out-of-state patients will be offered legal protections under a new law that takes effect in 2024. 
  • Michigan woman accused of posing as nurse indicted on 4 counts

    A grand jury indicted a Michigan woman accused of posing as a registered nurse for the third time, The Detroit News reported Sept. 27.
  • 10 recent hospital lawsuits, settlements

    From the Indiana attorney general accusing IU Health of failing to protect personal health information after physician spoke to the media about a 10-year-old patient's abortion, to fired MetroHealth CEO Akram Boutros, MD, seeking to have his successor sit for a disposition, here are 10 hospital lawsuits, settlements and legal developments Becker's reported since Sept. 15:  
  • 2 pharmacists, physician charged in $170M fraud scheme

    A physician and two pharmacists in Texas were charged in connection to a six-year, $170 million healthcare fraud case, the Justice Department said Sept. 26. 
  • Physician found guilty of making false statements in fraud scheme

    A Charlotte, N.C., physician was found guilty of making false statements in connection with a scheme that defrauded federal benefits programs of more than $5 million. 
  • Surgeon probed following 3 patient deaths, wrong organ removed

    A surgeon in Sebring, Fla., is facing complaints surrounding three patient deaths and a wrong organ removed over the course of nine months, the Miami Herald reported Sept. 26.
  • Feds secure $372M from lab testing scheme that targeted Medicare

    The Justice Department has obtained $372 million in judgments against Kentucky businessman Rajen Shah and his companies for a laboratory testing scheme that targeted Medicare. 
  • FTC accuses Amazon of 'monopolistic practices' in lawsuit

    The Federal Trade Commission and 17 state attorneys general filed a lawsuit against Amazon alleging that the online commerce giant engages in unfair monopolistic practices.
  • Kentucky physician, nurse convicted in drug scheme

    A Kentucky physician and nurse were convicted by a federal jury of conspiracy to illicitly prescribe controlled substances and other related offenses to distributing controlled substances.
  • Medical equipment provider to pay $12M in fraud scheme

    A medical equipment provider was ordered to pay $12 million in damages and penalties after being found liable in a Medicare fraud scheme. 
  • How 4 FTC moves could affect hospitals

    The Federal Trade Commission's noncompete ban, which was set to take effect Sept. 4, has been partially blocked while a federal court considers if the agency  has authority to issue the ban. The FTC also has proposed changes to premerger notifications, withdrew two antitrust policy statements related to enforcement in healthcare markets and made changes to healthcare breach reporting.  Here are four recent FTC moves and how they could affect hospitals and health systems:
  • Missouri AG sues healthcare provider over gender-affirming care

    Missouri Attorney General Andrew Bailey is accusing a St. Louis-based healthcare provider of violating state consumer protection law by giving puberty blockers to minors without a comprehensive mental health assessment. 
  • New York physician to pay $1.3M to settle overbilling allegations

    A New York City physician agreed to pay $1.3 million to settle allegations he overbilled Medicare for services provided to nursing home residents. 
  • Fired MetroHealth CEO wants successor to testify in defamation case

    Akram Boutros, MD, former CEO of Cleveland-based MetroHealth, is seeking a court order to have his successor sit for a disposition, according to Cuyahoga County Court records. 
  • Walgreens sued over eye drops

    A Florida woman is seeking monetary damages and a class-action lawsuit after buying unapproved eye drops from Walgreens, according to court documents filed Sept. 20.
  • Federal bureau unveils proposals to remove medical debt from credit reports

    The Consumer Finance Protection Bureau on Sept. 21 outlined proposals aiming to end "coercive debt collection tactics, clean up inaccurate data, and improve credit score predictiveness." 
  • American Physician Partners claim No Surprises Act sped up bankruptcy

    American Physician Partners' descent into bankruptcy was expedited in part by the "problematic" implementation of the No Surprises Act, its chief restructuring officer said in a Sept. 19 court filing. 

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