From a health insurer filing a $2.5 billion lawsuit over the Affordable Care Act's risk corridor program to an NFL player filing suit over a tweeted health record, here are the latest healthcare industry lawsuits and settlements making headlines.
1. Health insurer files $2.5B class-action suit over risk corridor program shortfall
Claiming health insurers were shortchanged by the Affordable Care Act's risk corridor program, Health Republic Insurance Co. filed a $2.5 billion class-action lawsuit against the U.S., although the CEO of the company says recoveries could be up to $5 billion.
2. NFL player files lawsuit over tweeted health record: 6 things to know
In July 2015, ESPN reporter Adam Schefter posted a photo of New York Giants' player Jason Pierre-Paul's medical record to Twitter following the amputation of one of the athlete's fingers. The incident sparked a flurry of questions about HIPAA and privacy when it comes to famous patients. Now, Mr. Pierre-Paul has filed a lawsuit against the reporter and ESPN.
3. Adventist Health System to pay $2M for allegedly giving leftover chemo to patients
Altamonte Springs, Fla.-based Adventist Health System Sunbelt Healthcare agreed to pay the federal government $2.09 million to resolve allegations that patients at one of its hospitals were administered leftover portions of single-dose vials of chemotherapy drugs.
4. 6 states sue Obama administration over Health Insurance Providers Fee
Six states are suing the Obama administration over the Health Insurance Providers Fee — a fee assigned to health insurers to cover federal subsidies as part of the Affordable Care Act.
5. Workers drop $229M claim against California health system
Nurses and other healthcare workers voluntarily dismissed a proposed class-action lawsuit they brought against Los Altos Hills, Calif.-based Daughters of Charity Health System, now Verity Health.
6. Owner of billing company pleads guilty in $2M Medicare fraud scheme
The owner of a medical billing company pleaded guilty in Michigan federal court to conspiring to commit healthcare fraud after she submitted $2 million in fraudulent claims to Medicare.
7. Hospital board chairman charged with stalking, burglary and hit-and-run
The board chairman of Cascade Valley Hospital and Clinics in Arlington, Wash., had several run-ins with the law over the past few weeks.
8. Tenet makes $238M offer to settle kickback allegations
Dallas-based Tenet Healthcare offered to pay $238 million to settle allegations that four of its hospitals violated the Anti-Kickback Statute and the False Claims Act.
9. NY clinic owner gets prison time for $4M Medicare fraud scheme
Jeffrey Suh, the owner of Plaza Medi Group and New Plaza Group in Flushing, N.Y., was sentenced to 42 months in prison for his involvement in a Medicare fraud scheme.
10. Johnson & Johnson ordered to pay $72M in connection with ovarian cancer death
Johnson & Johnson was ordered to pay $72 million to the family of a woman who used the company's products for decades and eventually died of ovarian cancer linked to the company's talc-based powders.
11. Vermont physician pays $500k to settle false claims allegations
Gamal H. Eltabbakh, MD, of Lake Champlain Gynecologic Oncology in Burlington, Vt., paid the federal government and the state of Vermont $500,000 to resolve allegations that he submitted false claims to Medicare and Medicaid.
12. UPMC sues liability insurer to cover $12.5M antitrust settlement
Pittsburgh-based UPMC sued United Educators Insurance, its liability insurer, claiming the insurer should pay the $12.5 million antitrust settlement the health system tentatively agreed to pay a local property management company.
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