A recent report from the Alliance for Integrity and Reform of 340B found that 85% of disproportionate share hospitals in the U.S. received more from 340B profit than they invested in charity care in 2022.
Category: Legal & Regulatory Issues
Healthcare billing fraud: 8 recent cases
From a former Georgia insurance commissioner pleading guilty to his role in a $2.5 million scheme to a durable medical equipment company owner sentenced to prison for “one of the largest Medicare fraud schemes in history,” here are eight healthcare bil…
Teen who posed as PA at 2 hospitals gets prison time
A teenager who posed as a physician assistant at two Texas hospitals was sentenced to five years in prison March 26, NBC affiliate KRIS 6 News reported.
Medicare, Medicaid made $100B in improper payments in 2023
The federal government reported an estimated $235.8 billion in improper payments in fiscal year 2023, with more than $100 billion coming from Medicare and Medicaid, according to a March 26 report from the U.S. Government Accountability Office.
Massachusetts attorneys say Steward owes them $600K
Kenney and Sams, a Boston law firm, has filed a lawsuit against financially troubled Dallas-based Steward Health Care claiming that the health system owes it $605,306 for legal services rendered, including interest and additional damages.
Beth Israel violated 'cease and desist' order, state alleges
The New York State Department of Health is accusing Mount Sinai Beth Israel of violating a “cease and desist” order prohibiting the closure of any beds or services without state approval, Politico reported March 25.
Tennessee hospitals push back against proposed CON changes
Proposed state legislation to change Tennessee’s certificate-of-need legislation would cause hospital service cuts and closures and reduce care access for many communities across the state, according to the Tennessee Hospital Association.
Texas Medical Board drafts guidance on emergency abortion exemptions
On March 22, the Texas Medical Board issued proposed rules on emergency exceptions to the state’s strict abortion ban, which critics have said do not go far enough in addressing uncertainty among physicians and patients.
Lack of transparency 'handcuffed' feds' Change hack response, lawmaker says
Lawmakers are questioning UnitedHealth Group’s response to the cyberattack that took Change Healthcare’s systems offline for nearly a month.
Judge dismisses charges against nurse accused of mishandling baby
The case involving a former nurse who was accused of mishandling an infant was dismissed by a judge, News 12 Long Island reported March 25.
