INSURASALES

US Healthcare Update: Organ Transplant Loophole, UnitedHealth Scrutiny, Labor Rules

A bipartisan congressional report alleges that organ procurement organizations are exploiting a federal loophole to miscount the number of transplanted organs, thereby artificially inflating their performance metrics and maintaining certification. This raises regulatory and compliance concerns in organ transplant oversight. Separately, UnitedHealth is under federal investigation following whistleblower claims that it incentivized nursing homes to limit hospital transfers and employed questionable strategies to acquire Medicare Advantage enrollees, highlighting scrutiny on insurer practices in government healthcare programs.

In legal developments, CVS Health and Cigna resolved a noncompete lawsuit centered on an executive's employment transition, reflecting ongoing corporate conflicts within large healthcare insurers and pharmacy benefit managers. On the public health infrastructure front, Texas has begun construction of a new inpatient psychiatric hospital in Amarillo, funded by a $159 million legislative allocation to meet regional mental health care needs in a predominantly rural area.

Workforce and labor issues are also evolving; the U.S. Department of Labor is reconsidering overtime pay rules for home health aides and similar direct care workers, regulations initially expanded in 2013 to enhance wage protections. Medicaid and Medicare compliance continue to be critical themes, as is the mental health of healthcare workers, with advocacy efforts underway to secure funding for programs addressing the sector's financial and bureaucratic stressors.

Furthermore, new survey data across several countries indicate that a significant portion of physicians would consider assisted dying options for themselves in cases of advanced terminal illnesses, reflecting ongoing ethical and legal debates in end-of-life care. These stories collectively underscore shifting dynamics in healthcare regulation, corporate conduct, workforce policies, and patient care frameworks that impact insurers, providers, and policymakers alike.