Category: Legal & Regulatory Issues

Georgia looks to South Carolina in certificate of need repeal fight

In its decision to recommend the repeal of certificate of need laws, a Georgia Senate committee made up of lawmakers, healthcare executives, and an insurance industry representative is looking to South Carolina, which signed its certificate of need rep…

Trump renews push to replace Affordable Care Act

Former President Donald Trump is taking to social media to renew calls for the replacement of the Affordable Care Act after a stretch of time in which the healthcare law was not a central issue in U.S. political campaigns. 

Oregon hospital sued over alleged illegal debt collection practices

A lawsuit has been filed against Klamath Falls, Ore.-based Sky Lakes Medical Center alleging the hospital violated charity care requirements, The Lund Report reported Nov. 28. 

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.&…