Two companies operating healthcare sharing ministries will pay $2.1 million to California to settle allegations they violated insurance regulations by deceptively advertising their plans as equivalent to standard health insurance.
Legal & Regulatory Issues
A medical testing company owner was sentenced to 80 months in prison and ordered to more than $9.1 million in restitution for his role in a healthcare fraud scheme.
New legislation pushed by Connecticut Gov. Ned Lamont would end facility fees charged at freestanding offices and clinics away from hospitals and create stricter reporting requirements for facility fees, sfgate.com reported March 13.
The Justice Department has filed a lawsuit against Rite Aid, claiming the retail pharmacy chain filled hundreds of thousands of "unlawful" prescriptions of controlled substances, including opioids, from May 2014 to June 2019.
This episode features Andrea Lee Linna, Partner at McGuireWoods, LLP. Here, she discusses the FTC moving forward in banning non-competes & what that will mean for health systems & private equity firms.
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South Florida is a hot spot for schemes designed to defraud Medicare and Medicaid, according to an investigator for HHS' Office of the Inspector General.
Former nurse Alec Ramirez, 32, has been sentenced to 18 months in prison and had his license revoked after he was convicted of stealing controlled substances from Menorah Medical Center in Overland Park, Kan.
Medicaid fraud units recovered $415.7 million from criminal convictions and $641.5 million in civil settlements in 2022, according to a report from HHS' Office of the Inspector General.
A former Pennsylvania pain management physician was sentenced to five years probation and ordered to pay more than $400,000 after pleading guilty to fraudulently billing Medicare and Medicaid.
The Washington Senate approved a bill to raise Astria Toppenish (Wash.) Hospital's Medicaid inpatient service reimbursement rates to 120 percent of the Medicaid fee schedule and outpatient reimbursement rates to 200 percent.