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DHA-7006: Health Law, Ethics, and Policy

Week 2 Resources

NU Library Tutorials on Nexis Uni

Take advantage of these excellent tutorials on how to navigate and use Nexis Uni resources. These will definitely add to your learning experience in this course.  You will also find this information useful later on when you are building your literature review for your premise.

This tutorial contains a series of interactive tutorials on how to conduct a variety of searches within Nexis Uni.

This interactive tutorial series demonstrates how to identify and format case citations within Nexis Uni.

This interactive tutorial demonstrates how to create Shepard's reports within Nexis Uni. It also offers a section where you can test your knowledge after watching the demonstration.

This interactive tutorial demonstrates how to search for cases within Nexis Uni. Practice what you've learned after watching the video tutorial.

This tutorial series demonstrates how to search legal news, articles, and other secondary source material within Nexis Uni.

This interactive tutorial demonstrates how to search for news sources within Nexis Uni. Practice what you've learned after watching the video tutorial.

This tutorial guides you through the steps of conducting a basic keyword search within Nexis Uni. Watch the video and then practice your new skills!

This tutorial demonstrates how to create a company report within Nexis Uni.

Week 2 Assignment Case List

1. Ex-CFO, 3 surgeons charged in a $950M kickback scheme in California.

Federal prosecutors unsealed charges against nine new defendants for their alleged roles in a kickback scheme that resulted in the submission of more than $950 million in fraudulent claims, mostly to California's worker compensation system.

State Comp. Ins. Fund v. Drobot, 192 F. Supp. 3d 1080, 2016 U.S. Dist. LEXIS 83319 (United States District Court for the Central District of California June 24, 2016, Filed). 

2. Hospice operator pays $8.5M to settle False Claims Act lawsuit.

Hospice chain Caris Healthcare agreed to pay $8.5 million to settle allegations that it knowingly retained overpayments for patients that were ineligible for the Medicare hospice benefit.

United States ex rel. Hinkle v. Caris Healthcare, L.P., 2017 U.S. Dist. LEXIS 130516 (United States District Court for the Eastern District of Tennessee. August 16, 2017, Filed).

3. Florida health system accused of illegally poaching physicians from competitors.

Physicians Regional Medical Group, Physicians Regional Medical Center-Pine Ridge, and Physicians Regional Medical Center-Collier Boulevard, all based in Naples, Fla., sued Naples-based NCH Healthcare System in federal court June 12 for allegedly stealing physicians from its practice.

Collier HMA Physician Mgmt., LLC v. NCH Healthcare Sys., 2019 U.S. Dist. LEXIS 9902, 2019 WL 277733 (United States District Court for the Middle District of Florida, Fort Myers Division January 22, 2019, Filed).

4. Texas hospital's $58M lawsuit against BCBS gets a second life.

The Fifth Circuit Appellate Court revived a Texas hospital's $58 million lawsuit against 16 independent insurers and claims administrators doing business under the Blue Cross and/or Blue Shield trademarks across the U.S. over alleged underpayments.

Innova Hosp. San Antonio, L.P. v. Blue Cross & Blue Shield of Ga., Inc., 995 F. Supp. 2d 587, 2014 U.S. Dist. LEXIS 12754, 57 Employee Benefits Cas. (BNA) 2807, 2014 WL 360349 (United States District Court for the Northern District of Texas, Dallas Division February 3, 2014, Filed).

5. Families' lawsuit against UPMC over hepatitis C infections moves forward with Pennsylvania Supreme Court decision.

The Pennsylvania Supreme Court will allow a lawsuit against Pittsburgh-based UPMC to move forward. The suit claims dozens of patients were infected with hepatitis C because the health system failed to report a former worker who stole the opioid fentanyl.

Walters v. UPMC Presbyterian Shadyside, 2016 PA Super 160, 144 A.3d 104, 2016 Pa. Super. LEXIS 402 (Superior Court of Pennsylvania July 21, 2016, Filed).

6. Colorado health system sues patient over $229K surgery bill, jury awards $766.

A jury awarded Centennial, Colo.-based Centura Health $766 in a lawsuit seeking more than $229,000 from a former patient.

Centura Health Corp. v. French, 2020 COA 85, 2020 Colo. App. LEXIS 1045, 2020 WL 2759685 (Court of Appeals of Colorado, Division Seven May 28, 2020, Decided).

7. Judge dismisses anti-kickback suit against UnitedHealth over $25 Walmart gift cards, free in-home visits.

A district court dismissed a suit claiming UnitedHealthcare violated the Anti-Kickback Statute by providing $25 Walmart gift cards to Medicare beneficiaries who opted to receive free in-home exams.

United States ex rel. Gray v. UnitedHealthcare Ins. Co., 2018 U.S. Dist. LEXIS 98195, 2018 WL 2933674 (United States District Court for the Northern District of Illinois, Eastern Division June 12, 2018, Filed).

8. Prime Healthcare can sue Humana over alleged Medicare Advantage underpayments.

A federal judge in California said June 22 Humana cannot dismiss Ontario, Calif.-based Prime Healthcare's breach of contract lawsuit accusing the insurer of underpaying for its Medicare Advantage members.

Prime Healthcare Servs. v. Humana Ins. Co., 2018 U.S. Dist. LEXIS 229738, 2018 WL 8131762 (United States District Court for the Central District of California August 22, 2018, Filed).

9. Feds want 12+ years in prison for ex-CEO of senior living network over $20M kickback scheme.

Federal prosecutors are recommending a 12-year prison sentence for James Burkhart, the former CEO of Indianapolis-based American Senior Communities, for his role in a $20 million healthcare fraud scheme.

Am. Senior Cmtys.L.L.C. v. Burkhart, 2019 U.S. Dist. LEXIS 205816, 2019 WL 6170064 (United States District Court for the Southern District of Indiana, Indianapolis Division November 19, 2019, Filed).

10. Pharmacy group sues Express Scripts: 6 things to know.

Pharmacy First, a network of more than 2,300 independent pharmacies in the U.S., is suing pharmacy benefit manager Express Scripts for limiting its market.

Wholesale All., LLC v. Express Scripts, Inc, 366 F. Supp. 3d 1069, 2019 U.S. Dist. LEXIS 17303, 2019-1 Trade Cas. (CCH) P80,659, 2019 WL 423378 (United States District Court for the Eastern District of Missouri, Eastern Division February 4, 2019, Filed).

11. Federal court reaffirms individual patients cannot file HIPAA lawsuits: 5 things to know.

A U.S. district court judge in Washington, D.C., on June 15 dismissed a case by a patient who alleged Laboratory Corporation of America, or LabCorp, violated HIPAA, reaffirming the precedent that individual patients cannot file lawsuits for alleged HIPAA violations.

Lee-Thomas v. Lab. Corp., 316 F. Supp. 3d 471, 2018 U.S. Dist. LEXIS 100428, 2018 WL 3014824 (United States District Court for the District of Columbia June 15, 2018, Filed).