Category: Legal & Regulatory Issues

Appeals court upholds fraud conviction of Theranos founder Elizabeth Holmes

The U.S. Court of Appeals for the Ninth Circuit has upheld the fraud convictions, prison sentences and $452 million restitution order against Elizabeth Holmes, founder of the now-defunct blood testing startup Theranos, and Ramesh “Sunny” Balwani, the c…

Mount Sinai Beth Israel sets new closure date

Following months of legal battles, New York City-based Mount Sinai’s Beth Israel will close March 26 after New York Supreme Court Judge Jeffrey Pearlman dismissed a lawsuit against the system that prevented its closure.

2 killed, 5 wounded in UPMC hospital shooting

Authorities are investigating a shooting Feb. 22 at UPMC Memorial Hospital in York, Pa., that left a police officer dead and staff members injured after a gunman took hostages and later was killed by police, media outlets reported. 

Universal Health Services hospital accused of boosting profits with involuntary commitment practices

Washington D.C.-based Psychiatric Institute of Washington, a Universal Health Services hospital, is being accused of systematically committing patients without medical necessity to maximize insurance payments, The Washington Post reported Feb. 24.

VP of prescription platform pleads guilty in $1B fraud scheme

A Kansas man has pleaded guilty to operating a fraud scheme that billed Medicare and other health insurers more than $1 billion through an online platform for durable medical equipment and fake physician orders.

DOJ probes UnitedHealth's Medicare Advantage billing practices: WSJ

The U.S. Department of Justice is investigating billing practices at UnitedHealth Group following reports that the company inflated charges to maximize Medicare Advantage reimbursements, The Wall Street Journal reported in an exclusive.

Trump signs executive order to end federal benefits for undocumented immigrants 

President Donald Trump has issued an executive order focused on limiting public benefits for undocumented immigrants.

Dr. Oz commits to divesting from UnitedHealth, HCA if confirmed as CMS leader

President Donald Trump’s nominee for CMS administrator, Mehmet Oz, MD, has pledged to divest from multiple healthcare companies if confirmed to lead the agency. 

Trump administration to support ACA preventive coverage mandate

The Trump administration intends to defend the Affordable Care Act’s requirement that insurers cover certain preventive services at no cost to patients. 

10 recent healthcare industry lawsuits, settlements

From UnitedHealth Group reaching a $20.25 million settlement with the U.S. Department of Labor to the former CEO of MetroHealth filing a lawsuit against the health system for alleged discrimination, here are 10 healthcare industry lawsuits, settlements…