10 recent healthcare industry lawsuits, settlements

From UnitedHealthcare beating CMS in a star ratings lawsuit to MetroHealth's former CEO refiling his lawsuit against the system, here are 10 healthcare industry lawsuits, settlements and legal developments that Becker's has reported since Nov. 19: 

1. UnitedHealthcare prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings. 

2. Albany (N.Y.) Med Health System  filed a federal lawsuit against the New York State Nurses Association, alleging improper use of its trademark and domain name. 

3. East Meadow, N.Y.-based Nassau University Medical Center said it is filing a lawsuit against New York, accusing the state of "longstanding violations of federal Medicaid law that deprived the hospital of more than $1 billion in aid."

4. A lawsuit was filed against Bridgeton, Mo.-based SSM Health DePaul Hospital, part of St. Louis-based SSM Health, and Craig Spiegel, MD, on behalf of 30 people alleging sexual abuse. 

5. Memorial Hermann Health System is facing a lawsuit from Texas Attorney General Ken Paxton, alleging the Houston-based system barred off-duty police officers from carrying their firearms in its facilities in at least 10 instances. 

6. Asante Rogue Regional Medical Center in Medford, Ore., is facing more than $488 million in lawsuits related to a former nurse's alleged drug diversion. 

7. CVS Health, UnitedHealth Group and Cigna filed a lawsuit against the FTC in response to the agency's case against the nation's largest pharmacy benefit managers over inflated insulin prices.

8. Akram Boutros, MD, former CEO of Cleveland-based MetroHealth, refiled his lawsuit against the health system and its board of trustees, alleging breach of contract, wrongful termination and defamation.

9. Fresno, Calif.-based Community Health System filed a motion to dismiss a lawsuit alleging it misused $1 billion in tax dollars intended to serve low-income patients.  

10. Mid-Valley Hospital and Clinic in Omak, Wash., agreed to pay a $15,000 penalty for violations of the Controlled Substances Act and to implement changes to its pharmacy and controlled substances policies.

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