An Illinois physician was sentenced to 10 years in prison for billing Medicaid and private payers for nonexistent and unnecessary services. What happened?
Legal & Regulatory Issues
A noncompete dispute between CVS Health and Cigna involving former Cigna executive Amy Bricker has been settled, according to court documents reviewed by Becker’s. The case, filed in the U.S. District Court for the Eastern District of Missouri, centered on…
A federal bill introduced June 10 aims to increase the number of Medicare-supported medical residency positions by 14,000 over seven years. Five things to know: 1. The Association of American Medical Colleges endorsed the proposed legislation, the Resident Physician Shortage…
The Pharmaceutical Care Management Association, which represents pharmacy benefit managers, has filed a lawsuit challenging Arkansas Act 624, a recently passed state law the group says threatens patient access to medications and pharmacy services. The group’s lawsuit argues that the…
Oregon Gov. Tina Kotek has signed a bill into law that sets the nation’s strictest regulations on private and corporate control of medical practices, the Oregon Capital Chronicle reported June 9. State law mandates that physicians hold at least a…
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CMS’ rescindment of a 2022 guidance that clarified hospitals’ obligations to provide emergency abortion care is spurring additional confusion amid an already complicated legal landscape, health and legal experts said. Six things to know: 1. CMS rescinded the EMATALA guidance…
A security guard was shot and wounded June 5 during an incident inside the emergency department at Endeavor Health Evanston (Ill.) Hospital, the Evanston Police Department said in a series of posts on X. At 7:26 p.m., the Crisis Alternative…
As Certificate of Need (CON) laws continue to evolve across the United States, healthcare executives are facing a regulatory landscape that is in rapid flux. These changes are opening the door to new growth opportunities—but also intensifying competition, escalating real…
The CEO of a healthcare software company was convicted by a federal jury for his role in operating a platform that generated fraudulent physicians’ orders to defraud Medicare and other payers out of more than $1 billion. What happened? Gary…
UnitedHealth Group is suing The Guardian for defamation following the publication of an investigative report from the media outlet that accuses the company of engaging in harmful and fraudulent cost-cutting tactics in nearly 2,000 nursing homes. The lawsuit, filed June…