Category: Legal & Regulatory Issues

Anti-racism plan violates Medicare law, 8 states allege in lawsuit

Eight states are asking a federal judge in Mississippi to throw out a CMS rule encouraging the formation of physician anti-racism plans, arguing the rule violates a Medicare reimbursement law. 

9 recent healthcare industry lawsuits, settlements

From a telehealth company accused of using unsafe prescribing practices to dozens of medical practices suing UnitedHealth, here are the latest healthcare industry lawsuits and settlements making headlines.

HHS’ surprise-billing appeal on hold

HHS requested a hold on its appeal of a Texas federal court ruling that voided part of the arbitration process outlined under the No Surprises Act. 

Fired Mercyhealth exec sentenced for wire fraud, tax evasion

A former vice president of Janesville, Wis.-based Mercyhealth was sentenced to 3 ½ years in prison May 4 for wire fraud and tax evasion in relation to a $3.1 million kickback scheme, according to the U.S Justice Department.

Tennessee health system must face nurse practitioner’s false claims retaliation suit

Memphis, Tenn.-based Baptist Memorial Health Care Corp., and its physician group must face a retaliation lawsuit filed by a nurse practitioner who claimed the organization violated the False Claims Act by retaliating against her for raising billing fra…

Attorneys seek to revive $411M antitrust suit against Sutter

Attorneys representing employers and health plan enrollees in a long-running antitrust suit against Sacramento, Calif.-based Sutter Health filed a notice of appeal April 26. 

Telehealth app used unsafe prescribing practices to keep patients, lawsuit says

A former executive at Cerebral claims he was fired in part for raising concerns about prescribing practices at the telepsychiatry company, The Wall Street Journal reported April 29. 

Houston ER physicians say they were urged to avoid COVID tests, work sick

A group of emergency room physicians filed a lawsuit in March alleging representatives for their employer, American Physician Partners, discouraged them from testing for COVID-19 and pressured them to work while ill, according to the Houston Chronicle….

Air ambulance company sues federal agencies over No Surprises Act

A Texarkana, Texas-based air ambulance company is suing HHS and other federal agencies over the No Surprises Act. 

California physician sentenced for defrauding Medicare, repackaging & reusing catheters

A California physician was sentenced to 93 months in prison April 28 aftering being convicted of a $12 million Medicare fraud scheme and reusing single-use catheters on patients.