Category: Legal & Regulatory Issues

Kentucky physician charged with murder-for-hire

Stephanie Russell, MD, was arrested May 19 on a charge of using interstate commerce facilities in the commission of murder-for-hire, according to the Justice Department. 

Hospitals urge Justice Department to probe insurers over routine denials

The American Hospital Association, on behalf of its nearly 5,000 healthcare organizations, is urging the Justice Department to probe routine denials from commercial health insurance companies. 

Florida pharmacy owner sentenced for $174M fraud scheme

A Florida pharmacy owner was sentenced to 14 years in prison over his role in a $174 million fraud scheme, the Justice Department said May 18.

Mayo Clinic may face 100+ lawsuits over vaccine mandate

Rochester, Minn.-based Mayo Clinic could face a slew of lawsuits from employees alleging they were wrongly fired for refusing COVID-19 vaccines, the Post Bulletin reported May 18.

California physician accused of issuing fake COVID-19 vaccination cards, injecting patients with plasma

A California physician faces multiple charges over allegations he issued fake COVID-19 vaccination cards and injected some of his patients with blood plasma he received from donors.

6 recent hospital lawsuits, settlements

From an Oklahoma hospital resolving false claims allegations to a Tennessee health system facing a retaliation lawsuit, here are the latest hospital lawsuits and settlements making headlines. 

Viewpoint: FTC will be healthcare’s biggest headache until 2025

With the Senate’s confirmation of Alvaro Bedoya to the Federal Trade Commission on May 11, Democrats now have a 3-2 majority in the FTC, which will likely lead to heightened scrutiny of competition in healthcare, Paul Keckley, PhD, wrote May 16 in The …

Nurse fired for allegedly reporting questionable patient deaths sues Iowa hospital

A former nurse at MercyOne Siouxland Medical Center in Sioux City, Iowa, is suing the hospital for retaliation, alleging she was fired in November after raising concerns about questionable patient deaths, fraudulent billing, and the manipulation of pat…

Health equity through an ACO lens: What organizations delivering value-based care need to know

The world of value-based care (VBC) is placing an increased focus on health equity goals.

‘Evil empire’ UnitedHealth schemes underpay providers, Envision suit alleges

Nashville, Tenn.-based Envision Healthcare is suing UnitedHealth Group, accusing the payer of scheming to underpay front-line healthcare providers and push organizations out of network.