Category: Legal & Regulatory Issues

3 recent self-disclosed fraud settlements involving providers

Three providers settled self-reported fraud claims — worth at least $800,000 each — in July and August, according to the HHS office of the inspector general. 

CarePoint accuses RWJBarnabas Health of aiming to ‘destroy’ 3 hospitals in lawsuit

Bayonne, N.J.-based CarePoint Health has accused West Orange, N.J.-based RWJBarnabas Health of conspiring to eliminate competition — specifically three CarePoint-operated hospitals in Hudson County, N.J. — in a lawsuit filed Sept. 6. 

CHS wins case over hospital’s ‘as-is’ sale

A hospital that Tower Health acquired from Community Health Systems was in compliance with state and federal licensing at the time of the transaction, according to a Sept. 6 opinion from a Pennsylvania federal court. 

Convicted Theranos founder Elizabeth Holmes requests new trial

Elizabeth Holmes, the founder of blood-testing startup Theranos who was convicted of defrauding investors, has asked for a new trial, saying a witness has had second thoughts about his testimony, Yahoo Finance reported Sept. 6.

Baylor College of Medicine wins COVID-19 coverage case against insurer

Houston-based Baylor College of Medicine won a $12 million jury verdict regarding COVID-19-related business income-interruption cases against several Lloyd’s of London syndicates in a Texas state court, according to a Sept. 6 report from Insurance Busi…

Nurses liable for patient harm carried out under physicians’ orders, North Carolina court rules

Nurses in North Carolina can now be sued for patient harm that results from them following physicians’ orders, the state Supreme Court ruled last month. 

U of Pittsburgh cardiologist loses lawsuit against school over op-ed 

A cardiologist at the University of Pittsburgh lost a civil rights lawsuit Aug. 31 after a judge ruled he did not show the university could be held responsible for adverse employment actions.

Former Yale New Haven Health worker pleads guilty in embezzlement scheme

A former employee of Yale New Haven (Conn.) Health pleaded guilty Sept. 1 to fraud offenses in connection with two separate criminal schemes, according to the Justice Department.

Labor Department sues former hospital CEO, alleges fiduciary breaches

The Labor Department has filed a lawsuit accusing the former CEO of a West Virginia hospital of fiduciary breaches while operating the company’s healthcare plan.

Kentucky nurse pleads not guilty in death of patient 

A nurse accused of killing an elderly patient at Baptist Health Lexington (Ky.) by intentional “medical maltreatment” pleaded not guilty Sept. 2, ABC affiliate WTVQ36 reported.