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publication date

Payer
Trump's DOJ Accuses Medicare Advantage Insurers of Paying 'Kickbacks' for Primo Customers
KFF Health News | May 19, 2025
DOJ alleges insurers labeled payments as 'marketing' or 'sponsorship' fees to get around rules that set caps on broker commissions.
Pharma
Pain Clinic CEO Faced 20 Years for Making Patients 'Human Pin Cushions.' He Got 18 Months.
KFF Health News | May 16, 2025
A federal judge described Kestner as a 'ruthless businessman' who funded a 'lavish lifestyle' by turning medical professionals into 'puppets.'
CEO
UnitedHealth Group Facing Criminal Probe for Medicare Fraud
Jay Asser | May 15, 2025
It's the latest concerning development in a tumultuous stretch for the healthcare giant.
Payer
UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments
KFF Health News | March 06, 2025
A special master found that the DOJ could not support its claim that the payer illegally pocket more than $2...
CMO
Health Clinic Workers Brush Up on Constitutional Protections as Immigration Raids Loom
KFF Health News | February 26, 2025
California's AG says staff should not obstruct immigration agents but are under no obligation to assist with an arrest.
CMO
Pain Clinics Made Millions From 'Unnecessary' Injections Into 'Human Pin Cushions'
KFF Health News | February 18, 2025
Pain MD's injections have been proved in court to be part of a decade-long fraud scheme.
Innovation
Prescribing Pullback: Telehealth Advocates Ask Trump to Withdraw DEA Proposal
Eric Wicklund | January 22, 2025
Healthcare executives are calling on the Trump Administration to nullify a DEA proposal to create a special registration for virtual...
CEO
Federal Agencies Voice Concerns Over Consolidation, Private Equity in Healthcare
Jay Asser | January 17, 2025
A new report by the Biden administration examines the negative impact of two oft-criticized trends in the industry.
Payer
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
KFF Health News | December 23, 2024
Independent Health will make "guaranteed payments" of $34.5 million in installments from 2024 through 2028.
Technology
A Lesson for Healthcare Execs: Make Sure Your New Technology Isn't Fake
Eric Wicklund | June 18, 2024
The founder and CEO of a medical device company has been convicted of selling an implantable medical device to providers...
Pharma
Opioid Maker Endo Health Solutions to Pay $1.1B, Forfeit $450M
John Commins | May 08, 2024
It's the second-largest criminal financial penalty levied against a drug maker.
CFO
Baptist Health System Inc. to Pay $1.5M to Settle False Claims Allegations
John Commins | May 07, 2024
The Jacksonville, Florida-based health system self-disclosed the improper discounts to encourage patient referrals.
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