Category: Legal & Regulatory Issues

Nostrum Laboratories and its founder and CEO, Nirmal Mulye, PhD, agreed to pay between $3.8 million and $50 million to settle allegations of underpaying Medicaid rebates. 

California’s recent push for universal healthcare coverage has been a long time in the making. 

A Justice Department antitrust division leader is telling payers and providers they should expect close scrutiny of any acquisitions, Politico reported Oct. 27.  

From the arrest of the former leader of Arkansas’ medical board, to a former executive of HealthSun Health Plans accused of orchestrating a multimillion-dollar scheme, here are 10 healthcare fraud cases Becker’s has reported since Oct. 10: 

The Ohio Supreme Court upheld a 65-year prison term on a former nurse’s aide who pleaded guilty to stealing valuables from dozens nursing homes, The Columbus Dispatch reported Oct. 25.

Federal officials issued proposed changes to the No Surprises Act’s independent dispute resolution process in an Oct. 27 news release. They said those changes, if finalized, will improve communication between payers providers and certified IDR entities…

UMass Memorial Medical Center and UMass Memorial Medical Group have filed a lawsuit against Boston-based St. Elizabeth’s Medical Center for alleged nonpayment of oncology services, the Worcester Business Journal reported Oct. 27.

A murder suspect who escaped Washington, D.C.-based George Washington University Hospital is back in custody after a seven-week search, The Washington Post reported Oct. 26.

Community Hospital for the Monterey Peninsula and its parent company, Montage Health, may file for a new trial after losing a $9.475 million wrongful termination case, Monterey County Weekly reported Oct. 26. 

A woman was arrested after police said she kicked two nurses at a hospital within Naples, Fla.-based NCH Healthcare System, of which her husband serves as CEO.