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.
Hospitals are not the only healthcare entities competing over a limited pool of qualified compliance officers. Payers, vendors and others are in the race too. But hospitals and health systems may have the most to lose if they let down their guard on adherence to regulatory rules.
The owners of a local pharmacy in Mississippi have been ordered to pay back the money they stole from Medicare and Medicaid by billing for expensive prescriptions they never dispensed to patients.
An emergency department nurse at Heritage Valley Sewickley Hospital is accused of stealing drugs and neglecting patients, causing at least two fatalities. A lawsuit filed by two whistleblowers further alleges that hospital leadership covered for the drug-dependent nurse.
Led by Massachusetts and California, the plaintiffs say CMS ignored the will of Congress by strictly defining a “medically frail” exemption that would allow a person access to safety net medical coverage.
Radiologist Henry C. Lusane, MD, with Acumen Medical Imaging, interpreted the scans, reporting the mass as benign, a mistake later leading to a terminal cancer diagnosis.
The Federal Trade Commission said it's seeking a resolution with Cigna, the parent company of the pharmacy benefit manager. The agency filed an antitrust complaint against Express Scripts, Optum Rx and CVS Caremark in 2024, alleging the "Big Three" PBMs use anticompetitive tactics to control the insulin supply chain within their vertical.
An anesthesiologist in Colorado has been indicted on manslaughter and criminally negligent homicide charges after a patient died during routine cataract surgery. It was discovered that a game of music bingo may have been the distraction that led to Bart Writer, 56, losing his life.
Of the $6.8 billion in judgments and settlements the U.S. Department of Justice reclaimed under the False Claims Act, $5.7 billion came from healthcare cases. The agency said fraud involving Medicare reimbursements, unnecessary patient care and managed care scams remains a key focus.
Danbury, Connecticut-based Advanced Imaging Specialists previously sued Trinity Health in November and is now prepared to vacate their contract amid ongoing challenges.
The Marlborough, Massachusetts-based mammography systems manufacturer revealed details about the litigation in a Jan. 26 filing with the U.S. Securities and Exchange Commission.
Aultman Health System notified its patients of the data breach in December 2025. However, the breach occurred some 11 months earlier. The organization said the delay was due to an ongoing investigation. The lawsuit against Aultman is seeking class action status.
National Nurses United plans demonstrations in 12 states and Washington, D.C. for Alex Pretti, an ICU nurse at Minneapolis Veterans Affairs Health Care System. The list of demands includes the defunding of U.S. Customs and Border Protection and United States Immigration and Customs Enforcement.
Alex Alexsanian, 48, of Burbank, entered a plea to one count of money laundering conspiracy on Jan. 20, with the scam tied to Saint Gorge Radiology, located in Sylmar.