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publication date

CEO
Trump Says He'll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
KFF Health News | April 02, 2025
Trump's history of showing leniency to convicted fraudsters contrasts with his present-day crackdown.
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...
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.
Revenue Cycle
MultiCare Faces Fraud Allegations in DOJ, Washington State Complaint
John Commins | January 29, 2024
The allegations stem from a whistleblower lawsuit filed against a former neurosurgeon at Deaconness Hospital in Spokane.
CEO
Community Health Network Settles False Claims Allegations for $345M
John Commins | December 21, 2023
The Indianapolis-based nonprofit system has admitted no wrongdoing.
Revenue Cycle
7 Lessons Learned from LVMC's $5M Settlement
Amanda Norris | September 07, 2023
The Lompoc Valley Medical Center (LVMC) is out $5 million from a recent false claims settlement?and there are several critical...
Revenue Cycle
Whistleblower Gets Large Health System Dinged Half a Million for Overbilling
Amanda Norris | May 18, 2023
Yale New Haven Health and Northeast Medical Group have agreed to a hefty settlement for allegedly submitting false claims to...
Revenue Cycle
NW Arkansas Hospitals Will Pay $1.1M to Settle Medicaid False Claims Allegations
John Commins | May 05, 2023
The health system denies intentionally filing false billings, and has worked with regualtors to resolve the case.
Payer
Covenant Healthcare Paid $69M to Settle FCA Allegations
John Commins | March 30, 2023
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...
CEO
AHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
John Commins | March 29, 2023
Billions of dollars at stake as high court takes up central tenets of the FCA.
HLM Mastermind
UPMC Will Pay $8.5M to Settle False Claims Allegations; Separate 'Sordid Vendetta' Defamation Suit Continues
John Commins | February 27, 2023
The settlement is the latest development in an ongoing, bitter feud between former colleagues who've traded accusations of drug abuse...
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