Stories about physicians and other healthcare professionals involved in lawsuits—as either a plaintiff or a defendant—or accused of breaking the law. Various legal updates or unusual stories in the news may land here.
The shiny Tesla Cybertruck cost $100,000. Its owner, Kevin Curry, 64, was convicted by a federal jury for his role in orchestrating a kickback scheme to defraud the military healthcare program. He awaits sentencing.
Five beneficiaries of the safety-net healthcare program have sued with the support of the National Health Law Program. They are joined by prestigious industry lobbies, including the American Academy of Pediatrics.
Plaintiffs allege Anne Arundel Medical Center in Maryland, the target of the data breach, had a server containing unencrypted patient data that hackers were able to access during the breach. The hospital and its parent health system are still recovering from the incident.
In a complaint, a California doctor accused his former employer and colleagues of making false statements to damage his reputation. The hospital argued, successfully, that the internist failed to exhaust internal dispute resolution procedures that could have stopped him from losing income.
The judge did not rule that Cigna was justified in refusing to pay but did agree that, under provisions of the NSA, federal courts have no right to compel payments.
Anthem defended the policy in response to the lawsuit, contending patients shouldn’t have to worry about surprise medical bills when visiting in-network hospitals.
Boca Raton Rehabilitation Center called claims made in the lawsuit by a former employee, Nuella Joseph, “unsubstantiated.” Joseph, a nurse, said the facility has a cleanliness problem that led to bug infestations in resident rooms.
Federal authorities said the shift to regional “Strike Force” models has proven successful, with 6,200 defendants prosecuted nationwide. The DOJ said this latest unit will take a special interest in Northern California.
About 38% of rads surveyed said they had defended against at least one lawsuit, with such specialists at a higher risk than others in internal medicine.
Legal and compliance teams have to serve as sentinels sizing up potential legal exposure points without turning into needlers who only slow down clinical innovation.
Washington Physicians Health Program (WPHP), a contractor with the state health department, is accused of trapping two physicians into mental health treatment as a condition of maintaining their medical residency jobs. Plaintiffs in the lawsuit are seeking class action status.
Federal regulators alleged that U.S. Anesthesia Partners—a portfolio company of Welsh, Carson, Anderson & Stowes—engaged in a “roll-up scheme” in Texas that effectively eliminated the competition. The company denies the allegations, but has agreed to undisclosed terms that would see the lawsuit resolved.