Category: Legal & Regulatory Issues

Albany Med sues payer over $50M in withheld payments: 5 things to know

Albany (N.Y.) Med Health System has filed a lawsuit against Capital District Physicians Health Plan, accusing the payer of withholding at least $50 million from Albany Medical Center for care the hospital provided to CDPHP beneficiaries. 

Albany Med sues payer over $50M in withheld payments: 5 things to know

Albany (N.Y.) Med Health System has filed a lawsuit against Capital District Physicians Health Plan, accusing the payer of withholding at least $50 million from Albany Medical Center for care the hospital provided to CDPHP beneficiaries. 

UnitedHealth, CVS want FTC chairwoman, 2 commissioners off PBM case

UnitedHealth Group and CVS Health are asking that Federal Trade Commission Chairwoman Lina Khan and two other commissioners recuse themselves from a lawsuit accusing the nation’s largest pharmacy benefit managers of inflating insulin prices, CNBC repor…

Supreme Court rejects Biden administration's appeal to allow emergency abortions in Texas

The U.S. Supreme Court in an Oct. 7 ruling declined to hear an appeal from the Biden administration that sought to enforce federal guidance in Texas that requires hospitals to perform abortions in emergency cases. 

Trade group sues FDA for removing Eli Lilly weight loss drug from shortage list

A group representing companies that produce copycat versions of Eli Lilly weight loss medications has filed a lawsuit against the FDA following the agency’s recent decision to remove the drugs from its shortage list, Bloomberg reported Oct. 7. 

Supreme Court turns away Martin Shkreli fine appeal

The nation’s highest court has rejected an appeal to overturn a $64.6 million antitrust judgment against Martin Shkreli after inflating the price of a lifesaving anti-infection drug.

Judge dismisses former MetroHealth CEO's open meetings lawsuit

A judge has dismissed the open meetings lawsuit filed by former MetroHealth CEO Akram Boutros, MD, ending the only pending case he has filed against the organization’s board, cleveland.com reported Oct. 7.

Healthcare billing fraud: 12 recent cases

From a former hospital CEO agreeing to pay $5.3 million to settle False Claims Act allegations, to the indictment of seven people in an alleged $40 million scheme, here are 12 healthcare billing fraud cases that Becker’s has reported on since Sept. 16:…

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.