| Editor's Choice: Legal News | Citing sources familiar with the matter, the Wall Street Journal reports that UnitedHealth Group is being investigated for criminal fraud, likely stemming from its Medicare Advantage billing practices. Citing sources familiar with the matter, the Wall Street Journal reports that UnitedHealth Group is being investigated for criminal fraud, likely stemming from its Medicare Advantage billing practices. | | |
| Five Tenet Healthcare hospitals are suing the Leapfrog Group, accusing the organization of pressuring hospitals to share internal data in exchange for higher scores in its annual safety rankings. The watchdog outright denies the claim. Five Tenet Healthcare hospitals are suing the Leapfrog Group, accusing the organization of pressuring hospitals to share internal data in exchange for higher scores in its annual safety rankings. The watchdog outright denies the claim. | | |
| Community Health System and Physician Network Advantage, an affiliated technology consultancy firm, were accused of bribing physicians for patient referrals in the form of paid vacations, expensive gifts and business meetings held at strip clubs. Community Health System and Physician Network Advantage, an affiliated technology consultancy firm, were accused of bribing physicians for patient referrals in the form of paid vacations, expensive gifts and business meetings held at strip clubs. | | |
| The unwanted spam calls were associated with Optum's home healthcare service. Plaintiffs alleged they received the marketing calls despite opting out and never signing up, in violation of federal consumer protection laws. The company does not admit to wrongdoing. The unwanted spam calls were associated with Optum's home healthcare service. Plaintiffs alleged they received the marketing calls despite opting out and never signing up, in violation of federal consumer protection laws. The company does not admit to wrongdoing. | | |
| State Attorney General Dana Nessel is suing Express Scripts and Prime Therapeutics, accusing the two PBMs of manipulating rebate pricing, "crippling small, independent pharmacies and restricting access to lifesaving medications in the process." State Attorney General Dana Nessel is suing Express Scripts and Prime Therapeutics, accusing the two PBMs of manipulating rebate pricing, "crippling small, independent pharmacies and restricting access to lifesaving medications in the process." | | |
| In court documents, an unnamed Minnesota woman said that in 2022, she was admitted to an Allina Health hospital and scheduled for the removal of her infected spleen, only for an error to result in her left kidney being removed instead. In court documents, an unnamed Minnesota woman said that in 2022, she was admitted to an Allina Health hospital and scheduled for the removal of her infected spleen, only for an error to result in her left kidney being removed instead. | | |
| Local investigative reporters have uncovered details on a scheme in which patients housed at a seedy motel received treatment for drug abuse as part of a massive Medicare fraud operation. Local investigative reporters have uncovered details on a scheme in which patients housed at a seedy motel received treatment for drug abuse as part of a massive Medicare fraud operation. | | |
| The three insurance giants are accused of conspiring with brokers to enroll profitable patients in Medicare Advantage plans, in exchange for "hundreds of millions" in kickbacks. The three insurance giants are accused of conspiring with brokers to enroll profitable patients in Medicare Advantage plans, in exchange for "hundreds of millions" in kickbacks. | | |
| The Florida governor claims the money was not part of a settlement the state made with Centene, and that the insurer donated the cash as a “cherry on top.” The Florida governor claims the money was not part of a settlement the state made with Centene, and that the insurer donated the cash as a “cherry on top.” | | |
| Lawsuits filed against the Alabama Medical Cannabis Commission claim the agency has failed to develop the necessary database to license and certify providers in the state, effectively making medical cannabis inaccessible. The law allowing for medical marijuana use passed in 2021. Lawsuits filed against the Alabama Medical Cannabis Commission claim the agency has failed to develop the necessary database to license and certify providers in the state, effectively making medical cannabis inaccessible. The law allowing for medical marijuana use passed in 2021. | | |
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