Category: Legal & Regulatory Issues

Telemedicine company owner sentenced to 14 years for $20M fraud scheme

A Florida telemedicine company owner was sentenced to 14 years in prison for healthcare and wire fraud that cost Medicare more than $20 million dollars. 

Home-based care: How removing barriers can improve access, experience, outcomes and health equity

Moving care outside the hospital and into patients’ homes can have a powerful impact on reducing health disparities. But first, providers must overcome regulatory barriers.

Former Houston Methodist employees lose appeal in vaccination mandate case

A federal appeals court on June 13 affirmed the dismissal of a lawsuit over Houston Methodist’s COVID-19 vaccination mandate, the Houston Chronicle reported June 14. 

8 recent hospital lawsuits, settlements

From a health system settling kickback allegations to a for-profit hospital operator facing an antitrust lawsuit, here are the latest hospital lawsuits and settlements making headlines. 

US Supreme Court overturns $1.6B 340B payment cut

The U.S. Supreme Court sided with hospital groups June 15 in a case challenging HHS’ 340B payment cuts. 

Travel nursing presents hospital employers with legal risks

The popularity of travel nursing is leaving healthcare facilities and the companies serving them susceptible to misclassification accusations and joint-employer disputes, Bloomberg Law reported June 14.

4 recent provider self-disclosed fraud settlements

Four providers settled self-reported fraud claims in May, according to the HHS Office of the Inspector General: Amita Health Mercy Medical Center (Aurora, Ill.) and Amita Health Saints Mary and Elizabeth Medical Center (Chicago) agreed to pay more…

Florida provider sues healthcare-sharing ministry

Orlando Health filed a federal lawsuit June 9 against Liberty HealthShare, accusing the healthcare-sharing ministry of trying to get free services it should have paid for and disputing claims without providing details. 

Healthcare billing fraud: 9 recent cases

From a former Kentucky lawmaker who plead guilty to charges in connection to a $2.7 million fraudulent billing scheme, to a Florida medical biller sentenced to more than five years in prison, here are nine recent healthcare billing fraud cases: &n…

Supreme Court’s Medicaid clawback ruling could mean less money for state programs, critics say

Critics of a June 6 U.S. Supreme Court ruling involving Medicaid clawbacks from personal injury litigation wins say the decision could result in less money for state Medicaid programs, Bloomberg reported June 10.