DOJ
publication date
Payer
Braidwood’s Threat To Coverage: An Update
Oral arguments for the case were heard on Monday, and payers need to pay attention.
Revenue Cycle
MultiCare Faces Fraud Allegations in DOJ, Washington State Complaint
The allegations stem from a whistleblower lawsuit filed against a former neurosurgeon at Deaconness Hospital in Spokane.
Strategy
FTC Enforcement Activity at its Highest Level in 20 Years
Healthcare is one of the industries facing increased scrutiny over dealmaking.
Strategy
Community Health Network Settles False Claims Allegations for $345M
The Indianapolis-based nonprofit system has admitted no wrongdoing.
Payer
Inside Braidwood V. Becerra: What Is at Risk for Payers?
Required coverage for no-cost preventive services is at risk. As the DOJ responds, what would it take for the dominos...
Strategy
Who Polices Hospitals Merging Across Markets? States Give Different Answers
For 50 years, federal regulators have not stepped in to prevent hospitals from merging with systems in other markets.
Clinical Care
Unstoppable: This Doctor Has Been Investigated at Every Level of Government. How Is He Still Practicing?
Medical boards, a health department and even federal investigators have scrutinized Dr. James McGuckin's vascular clinics. Today he still practices,...
Strategy
FTC Withdraws 2 Healthcare Antitrust Policy Statements
The decision 'is the best course of action for promoting fair competition in healthcare markets,' according to the FTC.
Strategy
DOJ, FTC Propose Updated Merger Review Requirements
The changes could impact M&A transactions in healthcare and would require more information regarding proposed transactions.
Revenue Cycle
Whistleblower Costs Health System $12M for Fraudulent Billing
A large health system allegedly issued claims for urgent care services billed at a higher level of service than received...
Human Resources
Unions Ask DOJ to Investigate UPMC's 'Anticompetitive Tsunami'
SEIU, SOC accuse PA's largest health system of widespread abuses of market power.
Payer
Covenant Healthcare Paid $69M to Settle FCA Allegations
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...