The Justice Department plans to appeal a September court ruling that cleared the path for UnitedHealth Group to move forward with its $7.8 billion acquisition of Change Healthcare, Bloomberg reported Nov. 18.
Legal & Regulatory Issues
The Justice Department has charged 10 individuals for business email fraud schemes targeting Medicaid, Medicare and private insurers.
A woman who worked as an unlicensed medical assistant for a physician in Chicago was convicted for her role in a $6 million Medicare fraud scheme, the Justice Department said Nov. 17.
A group of 10 people are being charged with crimes related to wire fraud and money laundering schemes that drained $11.1 million from Medicare, state Medicaid programs, private health insurers and other victims, the Justice Department said Nov. 18.
An unlicensed medical assistant for a physician in Chicago was found guilty for her role in a $6 million Medicare fraud scheme.
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Walmart proposed a $3.1 billion settlement for its pharmacies' role in opioid abuse, and the move has one independent pharmacist worried about unintended consequences, CBS affiliate KTVQ reported Nov. 16.
Two pharmacy owners pleaded guilty to submitting fraudulent Medicare claims for expensive medications, including cancer drugs with COVID-19-related "emergency override" billing codes, as part of an $18 million scheme, the Justice Department said Nov. 16.
A North Carolina man who owned several mental health clinics was sentenced to more than 12 years in prison for his role coordinating a $7 million Medicaid fraud scheme.
The Pennsylvania Office of the Attorney General has filed a petition seeking to have Crozer Health and its parent Prospect Medical Holdings held in contempt and fined $100,000 per day for violating a court order prohibiting the closure of Delaware…
A Florida fund for injured children has agreed to pay $51 million to settle allegations it violated the False Claims Act by causing participants to submit claims to Medicaid.