Category: Legal & Regulatory Issues

UnitedHealth, CVS, Cigna to face FTC lawsuit over PBM practices: WSJ

The Federal Trade Commission is preparing to sue UnitedHealth Group, CVS Health and the Cigna Group over their pharmaceutical benefit managers’ business practices, The Wall Street Journal reported July 10. 

Healthcare billing fraud: 10 recent cases

From a Montana physician pleading guilty to participating in a $39 million scheme to the Justice Department filing charges against nearly 200 people for $2.8 billion in fraud schemes, here are 10 healthcare billing fraud cases Becker’s has reported sin…

Former New York hospital exec charged with $1.5M in credit card fraud

Michael Lucchesi, MD, former chairman of emergency medicine and chief medical officer at SUNY Downstate Medical Center in the Brooklyn borough of New York City, has been charged with using a business card for nearly $1.5 million in personal purchases a…

Tower Health hospital sues Hill-Rom, alleges 'anticompetitive tactics'

Reading Hospital in West Reading, Pa., filed a class action lawsuit against Hill-Rom, a hospital bed maker, alleging anticompetitive behavior.

Las Vegas business owner sentenced for defrauding hospital

A Las Vegas business owner was sentenced to 21 months in prison for submitting more than $700,000 in false invoices to a Nevada hospital. 

Federal court holds up FTC's noncompete ban

A federal court in Texas has approved a preliminary injunction against the Federal Trade Commission’s sweeping noncompete ban, which, if implemented, would have seismic effects on the healthcare industry and the U.S. economy more broadly.

Biden directs hospitals to perform emergency abortions: 4 EMTALA updates

The Biden administration sent a letter to hospitals July 2, reaffirming they have a “legal duty” under federal law to ensure all patients with emergency medical conditions are offered stabilizing treatment, including abortion when deemed necessary.&nbs…

10 recent healthcare industry lawsuit, settlements

Chevron deference ruling to two health plans filing a proposed class action lawsuit against Hartford HealthCare, here are 10 healthcare industry lawsuits, settlements and legal developments Becker’s reported since June 26: 

Anesthesiologists sue New York hospital for $21M

Montefiore St. Luke’s Cornwall in Newburgh, N.Y., is facing a $21 million lawsuit filed by an anesthesiologist group that claims the hospital breached an exclusive contract to use the group’s physicians for its anesthesia services, the Westfair Busines…

Feds investigating multiple health systems

From Franklin, Tenn.-based Community Health Systems to Norfolk, Va.-based Sentara Health, the Justice Department has been busy looking into multiple health systems and healthcare organizations over the last few months.