Category: Legal & Regulatory Issues

FTC can't halt Novant, CHS deal, judge rules

A federal judge has rejected the Federal Trade Commission’s request for a preliminary injunction to bar Winston-Salem, N.C.-based Novant Health from its $320 million acquisition of two North Carolina hospitals from Franklin, Tenn.-based Community Healt…

Legacy Health settles suit over unauthorized photos of burn victim

Portland, Ore.-based Legacy Health will pay an undisclosed amount to settle a lawsuit with parents of a burn victim from an apartment fire, The Oregonian reported June 4.  

Healthcare billing fraud: 10 recent cases

From a Massachussettes hospital settling allegations it knowingly billed for procedures that didn’t follow Medicare rules to the conviction of a Texas physician in a $70 million scheme, here are 10 healthcare billing fraud cases Becker’s has reported s…

Novo Nordisk sues 9 more companies over Ozempic copycat claims

The manufacturer of Ozempic and Wegovy filed nine additional lawsuits against businesses in six states that allegedly sold unapproved compounded versions of the popular drugs. 

Former CEO admits stealing $35K from own hospital

The former CEO of Williamson (W.Va.) Memorial Hospital has admitted stealing hospital funds for personal use and without authorization, according to the Justice Department.

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.