Category: Legal & Regulatory Issues

New York hospital suing state over $1B in 'deprived' DSH funds

East Meadow, N.Y.-based Nassau University Medical Center is filing a lawsuit against New York, accusing the state of “longstanding violations of federal Medicaid law that deprived the hospital of more than $1 billion in aid.”

Optum-owned clinic chain found guilty of submitting 20K+ fraudulent Medicare claims

Dallas-based Healthcare Associates of Texas was found guilty of knowingly submitting $2.8 million worth of fraudulent Medicare claims, the Dallas Morning Journal reported Nov. 21. 

SSM hospital, physician sued for alleged patient abuse

A lawsuit has been filed against Bridgeton, Mo.-based SSM Health DePaul Hospital, part of St. Louis-based SSM Health, and Craig Spiegel, MD, on behalf of 30 people alleging sexual abuse. 

Texas sues system claiming it barred officers from carrying firearms

Memorial Hermann Health System is facing a lawsuit from Texas Attorney General Ken Paxton, alleging the Houston-based system barred off-duty police officers from carrying their firearms in its facilities in at least 10 instances, according to court rec…

Texas anesthesiologist gets 190 years for tampering with IV bags

A Texas anesthesiologist was sentenced to 190 years in prison for tampering with IV bags, causing one death and numerous injuries, the Justice Department said Nov. 20.

Texas lawmakers push for exceptions to strict abortion ban: 5 notes

Some Texas lawmakers are moving to amend the state’s strict abortion laws by introducing bills that would expand exceptions for doctors to intervene in high-risk pregnancies, ProPublica reported Nov. 19. 

Lawsuits mount against Oregon hospital in drug diversion case

Asante Rogue Regional Medical Center in Medford, Ore., is facing more than $488 million in lawsuits related to a former nurse’s alleged drug diversion.

PBMs sue to stop FTC's case over insulin prices

CVS Health, UnitedHealth Group and Cigna have filed a lawsuit against the FTC in response to the agency’s case against the nation’s largest pharmacy benefit managers over inflated insulin prices, CNBC reported Nov. 19. 

PBMs sue to stop FTC's case over insulin prices

CVS Health, UnitedHealth Group and Cigna have filed a lawsuit against the FTC in response to the agency’s case against the nation’s largest pharmacy benefit managers over inflated insulin prices, CNBC reported Nov. 19. 

Former CEO refiles suit against MetroHealth

Akram Boutros, MD, former CEO of Cleveland-based MetroHealth, has refiled his lawsuit against the health system and its board of trustees, alleging breach of contract, wrongful termination and defamation.