Category: Legal & Regulatory Issues

California hospital gets immediate jeopardy warning amid CRNA credentialing issue

Doctors Medical Center in Modesto, Calif., has been cited for immediate jeopardy by CMS, the California Department of Public health confirmed to Becker’s May 30.

FDA sued over rule to regulate hospital lab tests

A national trade group representing laboratories filed a lawsuit against the FDA on May 29, arguing the agency’s recent final rule to treat laboratory-developed tests as medical devices exceeds its statutory authority. 

Senators press MultiPlan on out-of-network claims fees

Vermont Sen. Bernie Sanders and Oregon Sen. Ron Wyden are seeking information from MultiPlan after an April 7 New York Times report found that major insurers made millions in fees by using the data analytics firm to determine how much to pay for out-of…

Providers want better Medicare Advantage prior auth data

The Medical Group Management Association said that as the number of Medicare Advantage beneficiaries continues to grow, “it is imperative that the MA program ensures adequate and transparent coverage to patients, timely payment to medical groups and re…

Federal bill seeks to curb 340B eligibility

On May 28, representatives from three states introduced a federal bill to amend the 340B program by recognizing contract pharmacies, restricting pharmacy benefit managers and tightening eligibility criteria. 

Ex-Erlanger executives allege kickbacks in whistleblower lawsuit

Two former high-ranking employees have filed a False Claims Act complaint against Chattanooga, Tenn.-based Erlanger Health System.

Louisiana categorizes abortion pills as controlled substances

Louisiana is the first state to define medication abortion, an FDA-approved two-drug regimen, as a controlled substance, meaning possession of unprescribed abortion pills can lead to imprisonment. 

PE-owned physician group backed Florida C-section policy shift

A debated Florida law that allows physicians to perform cesarean deliveries outside of hospitals came about after backing by a private equity-owned physicians group, according to KFF Health News.

Police probe murder-suicide at Virginia hospital

Newport News (Va.) police are investigating an apparent murder-suicide that took place at Riverside Regional Medical Center on May 26. 

Medical devicemaker to pay $42M in malfunctions case

On May 20, Massachusetts-based Magellan Diagnostics agreed to pay $42 million and pleaded guilty to charges related to the concealment of a device malfunction.