Category: Legal & Regulatory Issues

CHS sues MultiPlan

Franklin, Tenn.-based Community Health Systems is the latest health system to sue MultiPlan over allegations the data analytics firm conspired with major payers to underpay providers by tens of billions annually.

Former NBA player gets 40 months in prison for role in healthcare fraud scheme

Former NBA player Glen “Big Baby” Davis was sentenced to 40 months in prison for his role in a scheme to defraud the league’s healthcare plan out of $5 million, USA Today reported May 9. 

Complaint alleging California hospital chiefs overpaid own firms $23M rejected

The Fair Political Practices Commission has rejected a union’s complaint that alleges Bakersfield, Calif.-based Kern County Hospital Authority overpaid its executives through their own private consulting firms.

Lawmakers introduce bill to eliminate Americans' $220B in medical debt

A group of federal lawmakers, including Vermont Sen. Bernie Sanders, have introduced legislation they say would eliminate all $220 billion in medical debt held by Americans. 

Florida sues to block HHS bias rule

Florida Attorney General Ashley Moody and the Catholic Medical Association sued the Biden administration May 6 over a new rule under Section 1557 of the Affordable Care Act that the administration says advances protections against discrimination in hea…

Man who used Pennsylvania hospital for Medicare scam gets 10 year prison sentence

A Florida lab owner was sentenced to 10 years in prison for three fraud schemes, including a conspiracy involving $25 million in fraudulent Medicare claims submitted by Ellwood City (Pa.) Medical Center. 

Patient fatally strangled at HCA hospital: Police

A Missouri man is facing a second-degree murder charge after police say he allegedly strangled his wife in her hospital bed at HCA Midwest Health’s Centerpoint Medical Center, the Jackson County Prosecutor’s Office said May 4.

Baptist Health settles False Claims allegations for $1.5M

Jacksonville, Fla.-based Baptist Health has agreed to pay $1.5 million to address accusations of breaching the False Claims Act. 

Yale New Haven Health seeks withdrawal from Prospect hospital purchase

Yale New Haven (Conn.) Health is suing Los Angeles-based Prospect Medical Holdings, from whom it is attempting to acquire three Connecticut hospitals, as it seeks to get out of the deal, CT Mirror reported May 3.

Senator calls for MultiPlan probe

Minnesota Sen. Amy Klobuchar is calling on the Justice Department and the Federal Trade Commission to investigate potentially anticompetitive conduct by data analytics firm MultiPlan.