Category: Legal & Regulatory Issues

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.

Nurse pleads guilty to 22 counts of patient murder, attempted murder

Heather Pressdee, a Pennsylvania nurse, pleaded guilty to three counts of first-degree murder and 19 counts of attempted homicide, the Pittsburgh Post-Gazette reported May 1.

Ex-Illinois hospital COO sentenced in fraud scheme

An attorney who worked as a vice president and COO of an Illinois hospital and pleaded guilty to a federal mail fraud charge has been sentenced to a year and a half in federal prison.

J&J to resolve most cancer talc claims for $6.5B

Johnson & Johnson plans to settle 99.75% of claims alleging its talc-based baby powder products led to ovarian cancer, the company said May 1. 

Healthcare billing fraud: 11 recent cases

From the conviction of a New Jersey physician for submitting more than $5.4 million in fraudulent claims to the indictment of a Mississippi man for his role in a $70 million Medicare fraud scheme, here are 11 healthcare billing fraud cases Becker’s rep…