From a health insurance company accused of illegally deflating reimbursement to a Florida physician pleading guilty to submitting $20 million in fraudulent claims, here are the latest healthcare industry lawsuits and settlements making headlines.
1. BCBS insurers reach tentative $2.7B deal over antitrust case
Blue Cross Blue Shield insurers tentatively reached a settlement in an antitrust lawsuit that accuses the companies of conspiring to divide markets and avoid directly competing with each other.
2. Pennsylvania physician pays $1.2M to settle billing fraud allegations
A physician in Berwyn, Pa., agreed to pay $1.26 million to resolve False Claims Act allegations.
3. UnitedHealth accused of illegally deflating reimbursements
Two hospital-based physician groups filed a lawsuit accusing UnitedHealth Group of improperly cutting reimbursements to out-of-network providers.
4. Florida physician pleads guilty to submitting $20M in fraudulent claims
A physician in Florida pleaded guilty to conspiracy to commit healthcare fraud and faces a maximum of 10 years in federal prison.
5. New York hits J&J with lawsuit over opioid marketing
New York ‘s department of financial services sued Johnson & Johnson Sept. 17, accusing the drugmaker of misrepresenting opioids in its marketing.
More articles on legal and regulatory issues:
Chicago hospital defeats allegations of ‘ghost payroll’ scheme
West Virginia hospital settles whistleblower suit for $50M
Patient sues UPMC after suffering third-degree burns in operating room
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