Category: Legal & Regulatory Issues

HHS further delays rule that could void thousands of regulations

HHS will further delay the start date on a rule that would require the department to eliminate existing regulations after 10 years unless the department reviewed them and could justify keeping the regulation in place, according to an March 3 Federal Re…

5 recent health system lawsuits

From a Connecticut health system battling antitrust allegations to a Dallas-based health system accused of fraud, here are the latest health system lawsuits making headlines. 

In the trenches with the No Surprises Act: 4 insights on success, challenges and preparing for what comes next

As of January, the No Surprises Act prohibits surprise billing for out-of-network services.

Illinois man admits swindling hospitals out of $3.4M

An Illinois businessman pleaded guilty March 1 to a federal fraud charge for swindling money from a hospital that paid him for N95 masks in the early weeks of the COVID-19 pandemic, according to the Justice Department. 

Tennessee physician convicted in $50M fraud scheme

A Tennessee physician and his wife were convicted in a scheme that involved billing health insurance companies for more than $50 million in fraudulent or medically unnecessary services, the Justice Department said March 2. 

Steward Health Care to face patient class action alleging racketeering, fraud

Dallas-based Steward Health Care will face a class-action lawsuit alleging that the system overbilled patients or demanded payments from third parties not responsible for the bills, a federal court ruled Feb. 25. 

Steward Health Care to face patient class action alleging racketeering, fraud

Dallas-based Steward Health Care will face a class-action lawsuit alleging that the system overbilled patients or demanded payments from third parties not responsible for the bills, a federal court ruled Feb. 25. 

Hartford HealthCare seeks dismissal of antitrust lawsuit: 5 things to know

Hartford HealthCare filed a motion Feb. 23 to dismiss an antitrust lawsuit by St. Francis Hospital and Medical Center — both based in Hartford, Conn. — that claims Hartford HealthCare engaged in unfair competition.

UnitedHealth-Change deal battles roadblocks: A timeline

Since UnitedHealth Group said it intended to acquire health technology company Change Healthcare in January 2021, both provider advocates and regulators have pushed back against the $13 billion deal.

Texas physician pays $504K to settle excessive billing case

A primary care physician in Mission, Texas, paid the federal government $504,588 to resolve allegations that he violated the False Claims Act, the Justice Department said Feb. 24.