Category: Legal & Regulatory Issues

Compounding pharmacy supplier to pay $21M to settle whistleblower case

Medisca, an ingredient supplier to compounding pharmacies, will pay $21.75 million to resolve allegations of false and inflated prices, according to the Justice Department. 

State flags Connecticut hospital for service cuts: 9 notes

Connecticut’s Office of Health Strategy has raised concerns with Vernon, Conn.-based Rockville General Hospital’s service cuts that “may be in violation” of state law, according to an Oct. 17 letter.

CMS' hospital capacity reporting rule takes effect: 10 notes

Beginning Nov. 1, CMS will require hospitals to report admission information related to respiratory illnesses, including capacity, to the CDC. The new rule reinstates some pandemic-era requirements that have been voluntary since May 1. 

Texas sues 2nd physician in a month: 5 notes

A second physician in Texas is facing a lawsuit from Attorney General Ken Paxton for allegedly violating state law by prescribing puberty blockers and hormone therapy drugs to minors. 

Congress proposes law to stop Medicare cuts

A bipartisan bill has been introduced that would stop Medicare payment cuts that are scheduled to go into effect Jan. 1.

Pennsylvania AG sues health system for 'mismanagement and neglect' of hospitals

Pennsylvania Attorney General Michelle Henry has sued Prospect Medical Holdings for years of “mismanagement and neglect” of Upland, Pa.-based Crozer Health, which has disrupted healthcare services and resulted in various facility closures, according to…

Healthcare billing fraud: 10 recent cases

Here are 10 healthcare billing fraud cases that Becker’s has reported since Oct. 10:

AMA latest to sue MultiPlan over alleged price-fixing 'cartel'

The American Medical Association and the Illinois State Medical Society have filed a lawsuit against MultiPlan alleging the data analytics firm is colluding with with commercial payers in a price-fixing scheme that has “undercut fair payment for out-of…

Wyoming hospital fights EMTALA lawsuit, claims it should be malpractice case

St. John’s Health in Jackson, Wyo., is denying allegations of negligence in a patient’s death, arguing the case should not be filed under the Emergency Medical Treatment and Labor Act but as a state malpractice suit, WyoFile reported Oct. 21.

Lehigh Valley Health sued over retirement plan: 6 things to know

Five former employees at Allentown, Pa.-based Lehigh Valley Health Network filed a proposed class-action lawsuit against the health system Oct. 21 regarding its retirement plan.