DOJ
publication date
Payer
Trump's DOJ Accuses Medicare Advantage Insurers of Paying 'Kickbacks' for Primo Customers
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.
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
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
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
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'
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
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
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
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
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
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
The Jacksonville, Florida-based health system self-disclosed the improper discounts to encourage patient referrals.