Category: Legal & Regulatory Issues

Nurse charged in HCA hospital NICU investigation

A woman from Chesterfield County, Va., was charged with malicious wounding and felony child abuse in connection with an ongoing investigation involving Henrico Doctors’ Hospital neonatal ICU, Henrico police said in a Jan. 3 statement.

15 recent healthcare industry lawsuits, settlements

From Mayo Clinic suing Sanford Health Plan to a pharmacist suing HCA after she was fired for a LinkedIn post, here are 15 healthcare industry lawsuits, settlements and legal developments that Becker’s has reported since Dec. 19. 

Mayo Clinic sues Sanford Health Plan: 6 things to know

Rochester, Minn.-based Mayo Clinic has sued Sanford Health Plan, alleging that misrepresentations by the insurer left the health system with more than $739,000 in unpaid medical bills for a patient treated in early 2022, The Minnesota Star Tribune repo…

Jury awards $21M to former Seattle Children's physician in racial discrimination case

On Dec. 23, a jury awarded $21 million to Benjamin Danielson, MD, after determining that Seattle Children’s racially discriminated against him during his tenure as medical director of one of its clinics, according to the Seattle Times. The verdict foll…

Labcorp, academic health system settle false claims allegations: 5 things to know

Knoxville, Tenn.-based University Health System and Labcorp have paid $388,667 to resolve allegations that they violated the False Claims Act by delaying the submission of physician orders for certain lab tests by Caris Life Sciences to enable improper…

Indiana system settles kickback allegations, CFO whistleblower claims for $145.7M

Indianapolis-based Community Health Network has paid $145.7 million to the Justice Department and the state of Indiana to settle alleged violations of the Anti-Kickback Statute and False Claims Act.

Appeals court revives lawsuit alleging Novartis paid kickbacks for MS drug

The U.S. Court of Appeals for the Second Circuit partially upheld and partially vacated a district court’s ruling in a False Claims Act case against Novartis Pharmaceuticals. 

Healthcare billing fraud: 10 recent cases

From a judge sentencing four people for their roles in a $54.3 million scheme to a Medicare Advantage insurer agreeing to pay up to $98 million to settle allegations of knowingly submitting invalid diagnoses, here are 10 healthcare billing fraud cases …

Providence files motion to dismiss lawsuit over emergency abortion care

Providence St. Joseph Hospital in Eureka, Calif., has filed a motion to dismiss a lawsuit brought by the state attorney general, which alleged the hospital unlawfully denied an emergency abortion to a woman diagnosed with a condition that threatened he…

Steward insurer pushes court to demand payment from system

TRACO, an insurance affiliate of Dallas-based Steward Health Care, filed a Dec. 26 complaint in bankruptcy court alleging that the for-profit health system has failed to repay funds despite court orders authorizing payments, jeopardizing insurance cove…