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publication date

Strategy
Medicare Recovered $1B in Fraud in FY20
John Commins | March 19, 2021
Medicare Fraud Control Units recovered $3.36 for every $1 spent investigating fraud.
Finance
Highmark Reports More Than $220M in Savings Related to Fraud, Waste, and Abuse
Jack O'Brien | March 17, 2021
Last year, FIPR prevented approximately $7.5 million in fraud, waste, and abuse related to COVID-19, Highmark stated.
Strategy
BCBS Minn. Sues Pharma Bro's Old Company
John Commins | March 08, 2021
The Eagan, Minnesota-based health insurer alleges that Phoenixus and its U.S. subsidiary Vyera schemed to raise the price of its...
Strategy
With GOP Back at Helm, Montana Renews Push to Sniff Out Welfare Fraud
Kaiser Health News | February 25, 2021
Montana is considering becoming the latest state to aggressively check welfare eligibility to cut costs. While supporters of the move...
Strategy
AHA asks CMS to Spike IRF Demonstration Audits
John Commins | February 17, 2021
The proposed integrity audit on inpatient rehabilitation facilities in four states during the public health emergency raises a number of...
Covid-19
Contractor Who Was Awarded $34.5M in Government Money and Provided Zero Masks Pleads Guilty to Fraud
ProPublica | February 04, 2021
The VA and FEMA agreed to pay a first-time vendor in a desperate search for protective equipment. Now Robert Stewart...
Strategy
athenahealth to Pay $18.2M to Resolve Kickback, False Claims Allegations
John Commins | January 29, 2021
Enticements to customers included trips to The Masters, the U.S. Open, the Kentucky Derby, the World Series, the Indianapolis 500,...
Strategy
Kaiser Foundation MA Plan to Pay $6.3M to Settle False Claims Allegations.
John Commins | November 17, 2020
The alleged violations occurred in 2011 and 2012, before Group Health Cooperative was acquired by Kaiser Permanente.
Strategy
Purdue Pharma to Pay $8B to Settle Criminal, Civil Charges for Key Role in Opioid Epidemic
John Commins | October 21, 2020
The settlement does not release from further criminal charges the Sackler family, owners of Purdue, nor any of company's executives...
Strategy
Merit Medical Systems to Pay $18M to Settle Kickback Allegations
John Commins | October 15, 2020
Utah-based MSSI for more than six years allegedly paid millions of dollars in kickbacks to healthcare providers in the form...
Strategy
Wheeling Hospital to Pay $50M to Settle Stark, Anti-Kickback Allegations
John Commins | September 09, 2020
The settlement does not mandate a standard, five-year monitoring agreement for the hospital, nor an admission of wrongdoing on the...
Strategy
Konica Minolta Healthcare to Pay $500K to Settle False Claims Act Allegations
John Commins | August 28, 2020
Federal prosecutors claim that Viztek LLC, a former subsidiary of Konica Minolta, falsely claimed that its EHR software was HHS...
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