Category: Legal & Regulatory Issues

Shuttered California hospital had history of patient safety issues

Madera (Calif.) Community Hospital was fined and reprimanded for numerous state and federal health and safety violations before its closure in December 2022. Between 2016 and 2022, the hospital was hit with at least six immediate jeopardy warnings from…

HCA violated terms of Mission purchase agreement, North Carolina AG alleges

The North Carolina attorney general’s office could sue HCA Healthcare for an alleged violation of the 2019 asset purchase agreement to acquire Asheville, N.C.-based Mission Health, according to a formal notice of breach sent Oct. 31 to Dogwood Health T…

CUNY halts professor's Alzheimer's drug research amid investigation

After suspecting manipulated results in clinical trials for simufilam, an Alzheimer’s drug, by Hoau-Yan Wang, PhD, a neuroscience professor at the City College of New York, the City University of New York announced Oct. 27 it is conducting an investiga…

Drugmaker, CEO agree to pay up to $50M in false claims suit

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 yearslong fight for universal healthcare

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

Justice Department puts healthcare consolidation on notice

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

Healthcare billing fraud: 10 recent cases

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: 

Court upholds nurse aid's 65-year sentence

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.

Feds float No Surprises Act changes

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 sues Steward hospital over nonpayment

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.