Category: Legal & Regulatory Issues

Judge says Prisma Health overbilling lawsuit can proceed: 4 things to know

A South Carolina judge denied Greenville, S.C.-based Prisma Health’s bid to dismiss a proposed class-action lawsuit accusing the system of overbilling Medicaid patients, The State reported Oct. 8. 

Medical associations back Johns Hopkins All Children's in 'Netflix' appeal

St. Petersburg, Fla.-based Johns Hopkins All Children’s Hospital has gained additional support for its appeal in a case that was made famous by a Netflix documentary. 

New Mexico hospital responds to notice of breach from city

Las Cruces, N.M.-based Memorial Medical Center has shared some of the documents requested in a notice of breach letter sent by the city.

Avera Nebraska hospital temporarily closed after nearby explosion: 5 things to know

O’Neill, Neb.-based Avera St. Anthony’s Hospital temporarily closed Oct. 7 after it was damaged by an early morning explosion near its campus. 

Texas sues insulin makers, PBMs: 5 things to know

Texas Attorney General Ken Paxton has filed a lawsuit against major insulin manufacturers and pharmacy benefit managers over an alleged conspiracy to increase insulin prices. 

10 recent healthcare industry lawsuits, settlements

From UnitedHealthcare suing to prevent CMS from downgrading its Medicare Advantage star ratings, to California’s attorney general suing a hospital after a woman was denied an emergency abortion, here are 10 recent healthcare industry lawsuits, settleme…

Former Texas hospital CEO to pay 5.3M to resolve false claims case

The former CEO of a Texas hospital has agreed to pay more than $5.3 million to resolve allegations under the False Claims Act involving laboratory testing.

California sues 2nd hospital in a week

California attorney general Rob Bonta filed a lawsuit against AHMC Healthcare on Oct. 2, claiming the Alhambra-based health system’s service reductions at one Bay Area hospital and closure of another facility violate conditions set by the state when it…

DOJ supports workers in antitrust case against UPMC

The Department of Justice has filed a statement of interest siding with UPMC workers in an ongoing antitrust lawsuit alleging the Pittsburgh-based health system prevented workers from exiting or improving their working conditions, suppressed their wage…

Consumer Finance Protection Bureau puts RCM companies on notice over debt collection practices

The Consumer Financial Protection Bureau issued an advisory opinion on Oct. 1 warning debt collectors — including third-party revenue cycle management companies — that they are violating federal law when they collect on inaccurate or invalid medical de…