Prime Healthcare, CEO Pay $1.25M to Settle More Upcoding Allegations
Prosecutors say two Pennsylvania hospitals owned by the California-based, for-profit health system billed Medicare for unneeded overnight hospital stays.
StrategyHouse Officially Intervenes in High-Stakes Case to Defend ACA
Some have argued the House should focus on solving the pending ACA dispute through legislation, not litigation. Others argue the...
StrategyCVS-Aetna Nears Final Judgment Amid Rising Scrutiny of Vertical Deals
A deal that might have easily passed antitrust review a decade ago on account of its verticality may face greater...
EHR Vendor Pays $57.2M to Settle False Claims, Anti-Kickback Allegations
Prosecutors allege that Greenway Health lied about the meaningful use certification of its Prime Suite electronic health records software.
Strategy4 States Seek to Join Coalition Defending ACA on Appeal
If the court grants the request, there will officially be more states defending the ACA in this lawsuit than opposing...
Texas Pathology Lab Pays $63.5M to Settle False Claims, Kickback Allegations
Miraca Life Sciences allegedly subsidized physicians' EHR costs, and provided free or discounted consulting services in exchange for patient referrals.
StrategyFifth Circuit Resumes ACA Legal Challenge Post-Shutdown
The case could bring broad and long-lasting implications for a healthcare industry that has spent most of the past decade...
FinanceWalgreens Signs $269M in Settlements Over Insulin Pen Scheme, Drug Discounts
Federal judges approved settlements in two separate False Claims Act cases brought against the pharmacy chain.
StrategyJudge Orders DOJ to Continue Reviewing CVS-Aetna Despite Shutdown
An 'internal, political squabble over funding' is no reason to put off reviewing the megamerger, the judge wrote, with a...
StrategyStates Appeal ACA Ruling to Fifth Circuit
Colorado joins California-led coalition to defend the law after Trump's DOJ abandons key provisions on preexisting conditions.
Top 5 Healthcare Sector Fraud Settlements for 2018
The federal government collected $2.8 billion in False Claims Act settlements across all sectors of the economy in 2018, but...
Ex-Cleveland Clinic Exec Gets 30 Months in $2.7M Fraud Scheme
Former executives at Cleveland Clinic Innovations set up a shell company and submitted inflated bills to the health system for...