January 07, 2025
In the first week of the New Year, courts got busy dishing out a tough discovery decision to pharmacy benefit managers and hearing arguments over insurance denials from Humana and Blue Cross Blue Shield. Here, Law360 Healthcare Authority takes a look at some of the key decisions, arguments and lawsuits from the first week of 2025.
January 03, 2025
Community Health Network has agreed to pay $135 million to end federal healthcare fraud claims brought by its former chief financial officer, a deal reached two years after the Indiana healthcare system agreed to pay $345 million to settle False Claims Act allegations from the government in the qui tam action, the ex-CFO's counsel announced Thursday.
January 22, 2024
Indiana on Monday urged a court to belatedly let it into a fight against a healthcare system in the state that recently struck a $345 million deal to settle False Claims Act allegations against it, arguing the state has a "predominant interest" in prosecuting the remaining Medicaid-related claims in the case.
December 19, 2023
An Indiana healthcare system will pay $345 million to settle False Claims Act allegations that it schemed to generate referrals to facilities within its network by paying physicians far more than the market rate and awarding bonuses based on their volume of referrals, the U.S. Department of Justice announced Tuesday.