The Justice Department charged 15 people in Minnesota in connection with alleged fraud schemes involving more than $90 million. According to a May 21 news release from the department, the action included two of the largest Medicaid fraud cases charged…
Legal & Regulatory Issues
A federal judge has sided with the Justice Department in its bid to depose a former senior executive at Elevance Health over allegations that the insurer submitted fraudulent Medicare Advantage claims to the government. On May 20, the judge ordered…
HHS has unveiled a department-wide initiative to pursue states and grantees that have repeatedly failed to address deficiencies flagged in federally required audits, with consequences that could include losing access to federal funding across programs that include Medicaid. The initiative,…
Three health systems have filed federal lawsuits against CVS Health, alleging the company and several affiliates improperly diverted about $250 million in savings generated through the 340B drug pricing program. The health systems include New York City-based Mount Sinai Health…
Department of Veterans Affairs staff did not detect a prohibited weapon that undercover Government Accountability Office investigators brought into any of 30 tested VA medical facilities — including two with metal detectors — according to a GAO report publicly released…
Advertisement
A new report from the U.S. Commission on Civil Rights reviews the civil rights foundation for language access, including federal laws, healthcare and education requirements, state and local policies, and the practical need for language services. The report, Language Access…
The Colorado Supreme Court issued a preliminary injunction directing Aurora-based Children’s Hospital Colorado to restore gender-affirming care services as the hospital undergoes a Justice Department probe with patient revenue on the line. In a 5-2 decision issued May 18, the…
Attorneys general from 25 states and the District of Columbia have filed a lawsuit against the Trump administration to block an Education Department rule that limits which degree programs qualify for higher federal student loan limits. The rule — finalized…
From the owner of healthcare software convicted in a $1 billion Medicare scheme, to two Georgia men sentenced for roles in a $522 million scheme, here are 10 healthcare billing fraud cases Becker’s has reported since April 20: 1. A…
The Oregon Health Authority has approved, with conditions, Renton, Wash.-based Providence’s plan to operate its home care joint venture with Compassus in the state, an agency spokesperson confirmed to Becker’s May 18. Providence first announced its joint venture with Compassus,…