An investment banker at a Manhattan firm and his father were charged Thursday with using inside information to earn over $1 million illegally by trading in securities of five healthcare companies.
WellCare Health Plans continues to feel the financial pain of an 8-year-old criminal fraud case, and it is unlikely the legal costs will abate soon.
Nine Florida hospitals have agreed to pay $6.2 million to settle allegations that they led ambulance companies to bill Medicare and Medicaid for medically unnecessary rides in a case that could have implications for hospitals across the country.
Telemedicine company Teladoc is suing the Texas Medical Board over a new policy that restricts virtual visits in the state. The legal battle is one of the first that could turn on a recent U.S. Supreme Court ruling involving antitrust immunity of medical boards.
Whistle-blowers are less likely to win paydays in False Claims Act cases when the federal government declines to help, but the $450 million DaVita Kidney Care settlement this week reflects growing success among plaintiff who choose to carry on alone.
The U.S. Supreme Court denied ProMedica's request Monday to review a ruling that the Ohio health system's 2010 hospital deal violated antitrust laws. The defeat ends a nearly five-year battle with the Federal Trade Commission.
Healthcare chiefs overwhelmingly predict the U.S. Supreme Court will rule in favor of the government in the King vs. Burwell case, which threatens insurance subsidies in states that don't run their own exchanges, according to results of Modern Healthcare's inaugural CEO Power Panel survey.
Florida Gov. Rick Scott followed through last week on his threat to file a lawsuit alleging HHS is illegally trying to coerce the state into expanding Medicaid eligibility by threatening to end funding for hospitals that care for low-income patients.
Consumer advocates argue that Cigna Corp. health plans illegally force AIDS and HIV patients to either get their prescriptions through the mail or pay high prices. The suit is the latest in a series of disputes involving access to HIV/AIDS drugs under benefit structures that hold down costs.
The Medical Center of Central Georgia agreed to pay the federal government $20 million to settle allegations that it improperly billed short-stay admissions as inpatient rather than outpatient visits.
New York could become the eighth state to mandate that hospitals offer training to family and friends who care for patients after they are discharged from the hospital.
Likely Republican presidential candidate Jeb Bush wants to require everyone to fill out an advance directive governing their end-of-life care before they can receive Medicare benefits. His proposal is both ironic and politically audacious.