Category: Legal & Regulatory Issues

Optum now has 90,000 physicians

Optum added nearly 20,000 physicians in 2023, Optum Health CEO Amar Desai, MD, said. 

Georgia Senate committee urges ditching CON laws

A Georgia Senate committee made up of lawmakers, healthcare executives and an insurance industry representative voted 6 to 3 recommending a repeal of certificate of need laws, The Augusta Chronicle reported Nov. 28.

CVS sues U.S. over $400M in denied tax deductions

CVS Health is suing the United States, alleging the government owes it more than $400 million in tax deductions. 

Nurse practitioner pleads guilty in $7.8M fraud scheme

A Virginia-based nurse practitioner pleaded guilty for her role in a $7.8 million telemedicine fraud scheme involving medically unnecessary durable medical equipment.

From Barbie to Garth Brooks: When healthcare donations go awry

Healthcare has long been a favored target of philanthropists, and in most cases, the process is smooth; a new hospital wing is built and named in honor of the donor. However, with millions of dollars changing hands, sometimes donations aren’t as simple…

Wisconsin investigates hospital pharmacist

The Wisconsin pharmacy board is investigating a hospital pharmacist’s license after a federal court charged him for animal cruelty related to research, ABC affiliate WKOW 27 reported Nov. 22. 

Optum faces antitrust lawsuit from California health system

Covina, Calif.-based Emanate Health is accusing UnitedHealth Group’s Optum of pressuring the system not to compete with Optum in the primary care business, and of steering patients away from their physicians who left Optum to join Emanate’s practices.&…

Johns Hopkins All Children's claims juror misconduct after $261M verdict

Lawyers for St. Petersburg, Fla.-based Johns Hopkins All Children’s Hospital filed for a retrial on Nov. 22 against a $261 million verdict in a case made famous by a Netflix documentary, alleging that the jury foreman violated stringent conduct rules d…

Motive in New Hampshire hospital shooting still unclear

The motive behind the shooting that killed a New Hampshire hospital security guard Nov. 17 remains unknown days after the police identified the suspect, CBS News reports. 

McLeod Health resolves overtime dispute in $600K settlement

McLeod Health, based in Florence, S.C., has agreed to a $600,000 settlement in a lawsuit brought by employees who claimed that the network deducted pay for meal breaks they were unable to take due to a heavy workload.