Legal News

Stories about physicians and other healthcare professionals involved in lawsuits—as either a plaintiff or a defendantor accused of breaking the law. Various legal updates or unusual stories in the news may land here.

Optum UnitedHealthcare UnitedHealth Group HQ

UnitedHealth, Amedisys offer divestitures as $3.3B merger advances

Pennant and BrightSpring Health Services have agreed to purchase some healthcare businesses from UnitedHealth and Amedisys. However, it remains unclear whether this will be enough for the DOJ to drop its lawsuit blocking the merger.

UnitedHealth Group - 2

UnitedHealth sued by shareholders over concealing fallout of CEO's murder

In a lawsuit, plaintiffs allege the company changed course from a long-standing policy of denying medical claims, hiding from investors its impact on profits. The insurer denies any wrongdoing and vowed to defend itself in court. 

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Florida hospitals sue nonprofit over ‘pay-to-play’ safety rankings

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. 

Rite Aid closing stores bankruptcy

Rite Aid seeking buyout as it files for bankruptcy—again

For the second time in less than two years, the struggling retail pharmacy chain has filed for Chapter 11 bankruptcy protection, seeking buyers as it prepares for store closures.

Prescription drugs pharmacy law

Michigan sues PBMs, alleging unlawful collusion created ‘pharmacy deserts'

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."

Gavin Newsom

19-state coalition sues HHS over restructuring, mass firings

The states argue the Department of Health and Human Services is failing to perform basic functions, in violation of the Constitution, as the agency and its programs are authorized by Congress. 

Nurse in Handcuffs

Nurse charged with severely injuring several babies on NICU ward

Erin Strotman, 26, has been charged in a 12-count indictment for incidents of alleged neglect and abuse. Her license to practice nursing has also been suspended, pending trial. 

Humana

DOJ sues Aetna, Humana and Elevance for allegedly paying illegal 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.

Around the web

After their proposal for a new American Board of Cardiovascular Medicine was shot down earlier this year, cardiology groups have asked the AMA for some support. "We feel like it's time for us to blaze our own path," one specialist explained. 

The company has agreed to acquire Verve Therapeutics for an upfront payment of approximately $1 billion. The total could increase significantly, however, if certain milestones are met. One of Verve's biggest gene therapies has already received the FDA's fast track designation.

American College of Cardiology Board of Governors Chair David E. Winchester, MD, MS, examines the many benefits of working with the American Medical Association House of Delegates to bring about significant change.