Category: Legal & Regulatory Issues

$150M sought from California hospital over alleged breach of contract

Los Angeles-based Cedars-Sinai is facing allegations of appropriating the Kerlan-Jobe Orthopaedic Clinic’s reputation and assets without compensation in a $150 million lawsuit.

Dartmouth Health changes vaccination policy after attorney general review

Lebanon, N.H.-based Dartmouth Health has revised its policy requiring kidney transplant candidates to receive COVID-19 vaccinations, according to New Hampshire’s attorney general. 

Gilead, government settle HIV drug patent dispute

Gilead Sciences reached a settlement with the Justice Department and HHS that resolves a five-year legal dispute regarding patents for its HIV prevention drugs, Truvada and Descovy. 

Physician sentenced to 10 years in prison for $70M fraud scheme

A Texas physician was sentenced to 10 years in prison for causing the submission of more than $70 million in fraudulent claims to Medicare for medically unnecessary orthotic braces and genetic tests ordered through a telemarketing scheme.

Former Texas hospital CEO sentenced for kickback conspiracy

The former CEO of a Texas hospital has been sentenced to 36 months in federal prison for his role in conspiring to violate the Anti-Kickback Statute.

False Claim Act recoveries hit $2.9B in 2024

Whisteblowers filed a record 979 qui tam lawsuits in 2024, according to a Jan. 15 Justice Department report. 

St. Luke's sues Idaho attorney general

Idaho’s abortion law conflicts with the federal Emergency Medical Treatment and Labor Act, according to a lawsuit filed Jan. 14 by St. Luke’s Health System. 

Maine health system sues HHS over withheld Medicare payments

Lewiston, Maine-based St. Mary’s Health System is suing HHS for allegedly unlawfully withholding Medicare payments from the cash-strapped system, Maine Public Radio reported Jan. 14.

HCA appeals another AdventHealth CON: 7 things to know

Asheville, N.C.-based Mission Health, part of HCA Healthcare, has filed an appeal challenging the North Carolina Department of Health and Human Services’ decision to grant a certificate of need to AdventHealth for 26 additional acute care beds in Bunco…

Chamber of Commerce sues FTC over 'unlawful' premerger changes: 6 things to know

The U.S. Chamber of Commerce sued the Federal Trade Commission on Jan. 13, arguing its changes to premerger notification rules under the Hart-Scott-Rodino Act are “unnecessary and unlawful.” The FTC finalized changes to premerger notifications in Octob…