Category: Legal & Regulatory Issues

Supreme Court temporarily blocks Purdue Pharma's $6B opioid settlement

The Supreme Court temporarily blocked a national settlement with Purdue Pharma on Aug. 11 that would have shielded Sackler family owners from additional civil suits over the opioid epidemic and limited personal liability to $6 billion, The New York Tim…

Healthcare billing fraud: 12 recent cases

From 12 people sentenced for defrauding Blue Cross Blue Shield to a federally qualified health center settling improper billing allegations, here are 12 healthcare billing fraud cases Becker’s reported since July 27: 

'Like a mafia enforcer for insurers:' AdventHealth sues MultiPlan for alleged price fixing

Altamonte Springs, Fla.-based AdventHealth is suing MultiPlan for an alleged ongoing conspiracy among commercial health insurers to reduce the reimbursement rates they pay to providers for out-of-network services. 

Federally qualified health center settles improper billing allegations

Bridgeport, Conn.-based federally qualified health center Optimus Health agreed to pay more than $470,000 to settle false claim improper billing allegations.  

Lawmakers push IRS to probe nonprofit hospitals

Four senators sent a letter to the IRS and the Treasury inspector general for tax administration asking them to probe nonprofit hospitals’ potential abuse of their tax-exempt status.

Physician at Arkansas hospital faces 31 patient lawsuits

The number of lawsuits filed against former psychiatrist Brian Hyatt, MD, has grown to 31, 5 News Online reported Aug. 8.

Nurse sues hospital after equipment explosion leads to injury

A certified registered nurse anesthetist filed a lawsuit against Hartford (Conn.) HealthCare seeking lost wages and $15,000 in damages after a surgical machine allegedly exploded and injured him.

Nurse pleads guilty to stealing drugs from hundreds of patients

A former Boston nurse pleaded guilty to stealing hundreds of doses of opioids from an emergency room locked drug cabinet in 2019.

HHS loses another No Surprises Act lawsuit

A Texas federal judge has sided with the Texas Medical Association for a third time in its series of legal challenges over the No Surprises Act, this time over a 600 percent hike in administrative fees when seeking dispute resolutions.   

Ochsner resident arrested after video camera found in staff bathroom

An Ochsner resident is facing 10 counts of video voyeurism after a camera was found inside a hospital bathroom, NBC affiliate WDSU reported Aug. 3.