The FTC has vowed to block “bad hospital deals” after it helped steer Fairfield Medical Center in Lancaster, Ohio, away from Columbus-based OhioHealth’s planned purchase and toward a Sept. 1 acquisition by Chillicothe, Ohio-based Adena Health. A previous FTC staff…

Anosh Ahmed, MD, former CFO and COO of Chicago-based Loretto Hospital, pleaded not guilty Aug. 31 to a 15-count fraud and money laundering indictment connected to COVID-19 testing fraud claims, the Chicago Tribune reported.  “Nice to see you here in…

The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns about diagnosis coding practices that can increase payments to health plans. The latest came Aug. 27, when The…

George Miller Jr., the former CEO of Loretto Hospital in Chicago, entered into an agreement to defer prosecution on a federal conspiracy charge connected to the hospital’s embezzlement scandal, according to an Aug. 25 filing in the U.S. District Court…

Maryland Attorney General Anthony Brown has filed a lawsuit against UnitedHealth Group and Optum, seeking $380 million in damages stemming from alleged issues administering a Medicaid behavioral health program. “Marylanders in crisis and the providers who care for them rely…

A state grand jury determined that $10 million from a Centene Medicaid settlement was “misappropriated” under Florida Republican Gov. Ron DeSantis’ administration, according to a Jan. 28 sealed document obtained by CBS News Miami. Despite the findings, the document said…

The Villages (Fla.) Health, a primary and specialty care provider group, has agreed to pay $541.5 million to resolve allegations that it violated the False Claims Act by submitting improper Medicare Advantage diagnosis codes, according to an Aug. 26 news…

A Portland, Ore., man is suing Oakland, Calif.-based Kaiser Permanente for nearly $534 million, alleging the health system and several physicians failed to properly diagnose and treat a heart condition that led to cardiac arrest and the amputation of both…

A former senior director of data analytics at Optum has been sentenced to three years in federal prison for creating a no-show job for a friend and pocketing kickbacks from their salary. Karan Gupta, 48, of Walnut Creek, Calif., was…

Canada’s Department of Finance said that it will impose counter-tariffs on U.S. goods, effective Sept. 8, in response to President Donald Trump’s 50% tariff on $27.6 billion of Canadian goods that took effect Aug. 22. Here are five things to…