Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

A cardiology practice in Florida and several of its cardiologists have agreed to pay $2 million to resolve allegations that they violated the False Claims Act and committed fraud. As a part of the agreement, there has been no determination of liability.

Cardinal Health will pay $13M to settle kickback allegations

The Ohio-based drug distributor violated the Anti-Kickback Statute by offering to pay physician practices upfront discounts to buy pharmaceuticals paid for by federal health programs, according to the DOJ.

February 2, 2022

UnitedHealth subsidiary must pay $20M after purposely denying claims to ‘protect its bottom line’

The ruling ends a more than six year class-action lawsuit against United Behavioral Health.

January 11, 2022

New lawsuit alleges Duke is working to ‘destroy’ private physicians group

Meanwhile, representatives with the institution say the suit "has no basis in fact or law" and that the university plans to fight it.

January 3, 2022

Five hospital groups join AHA, AMA legal challenge against surprise billing provision

The Federation of American Hospitals and Association of American Medical Colleges are among those organizations that filed an amicus brief in December.

December 16, 2021

Trio of hospice employees sentenced to federal prison in $40M Medicare scheme

Doctors allowed Bradley Harris, CEO of now-defunct Novus Health Services, to dispense medication "like candy," the Department of Justice said.

December 10, 2021
Mental Health

Surgeon General issues warning over youth mental health crisis

U.S. Surgeon General Vivek H. Murthy issued a public health emergency on the mental health crisis among the nation's youth.

December 8, 2021

UnitedHealth must pay doctors $60M after losing lawsuit against TeamHealth

A UHC spokesperson said the insurance giant is planning an "immediate" appeal.

December 8, 2021
Covid Vaccine

Judge halts Biden administration's worker vaccine mandate

More than 17 million healthcare workers and 67,000 providers are likely affected by the now-paused instruction.

December 1, 2021

Around the web

Five of the largest U.S. medical societies focused on cardiovascular health are one step closer to seeing their paradigm-shifting proposal become a reality.

The Society for Cardiovascular Angiography & Interventions and Society of Thoracic Surgeons have both shared statements in support of the ban, which is already being challenged in court. The American Hospital Association, meanwhile, opposes the policy shift, saying it “errs by seeking to create a one-size-fits-all rule”

Alison Bailey, MD, co-chair of the business of cardiology sessions at ACC.24, emphasized that reimbursement cuts can have a long-term negative impact on patient. 

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