Department of Justice

CA Healthcare Organizations Settle False Claims Act Violations

August 25, 2022 - A California county organized health system and three healthcare providers have reached a $70.7 million settlement to resolve allegations that they violated the False Claims Act by submitting fraudulent claims to California’s Medicaid program, Medi-Cal. The involved organizations include Gold Cost Health Plan, a COHS that contracts to arrange...


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Molina Healthcare Pays $4.6M to Settle False Claims Act Violations

by Victoria Bailey

Molina Healthcare (Molina) has reached a $4.6 million settlement to resolve allegations that it violated the False Claims Act after submitting improper claims for Medicaid reimbursement. In October...

Steward Health Care System Settles False Claims Act Violations

by Victoria Bailey

Steward Health Care System has reached a $4.7 million settlement to resolve allegations that it violated the False Claims Act by paying physicians for services they did not provide. The United States...

Home Healthcare Company Settles False Claims Act Violations

by Victoria Bailey

Signature HomeNow, a home healthcare company operating in Florida, has reached a $2.1 million settlement to resolve allegations that it violated the False Claims Act and fraudulently billed Medicare...

FAH Requests Hospital Merger Guideline Consistency from DOJ, FTC

by Victoria Bailey

The Federation of American Hospitals (FAH) has asked the Federal Trade Commission (FTC) and the Antitrust Division of the Department of Justice (DOJ) to maintain certain aspects of the hospital merger...

Florida Practice Pays $24.5M to Resolve False Claims Act Violations

by Victoria Bailey

Florida-based Physicians Partners of America (PPOA) has reached a $24.5 million settlement to resolve healthcare fraud allegations that it violated the False Claims Act and billed federal healthcare...

Providence Reaches $22.7M Settlement to Resolve Healthcare Fraud

by Victoria Bailey

Providence Health & Services Washington (Providence) has reached a $22.7 million settlement to resolve healthcare fraud allegations that it falsely billed Medicare and Medicaid for medically...

DOJ Alleges Methodist Violated False Claims Act, Anti-Kickback Laws

by Victoria Bailey

The US Department of Justice (DOJ) has filed a lawsuit against Methodist Le Bonheur Healthcare and Methodist Healthcare Memphis Hospitals, alleging that the health systems violated the False Claims Act...

Change Healthcare, UnitedHealth Extend Healthcare Merger Deadline

by Victoria Bailey

Change Healthcare and UnitedHealth Group’s diversified health services company, Optum, have announced that they will extend their healthcare merger agreement to December 31, 2022. UnitedHealth...

AHA Asks DOJ, FTC for Minor Hospital Merger Guideline Revisions

by Victoria Bailey

The American Hospital Association (AHA) has asked the US Department of Justice (DOJ) and the Federal Trade Commission (FTC) to revise hospital merger guidelines to better account for the benefits...

DOJ Files Lawsuit to Block UnitedHealth, Change Healthcare Merger

by Victoria Bailey

The Department of Justice (DOJ) has filed a civil lawsuit to block the merger between UnitedHealth Group and Change Healthcare. The complaint states that the proposed $13 billion transaction in which...

Telehealth, EHR Use Increases False Claims Act Violations, Fraud

by Victoria Bailey

Healthcare digitization, including increased use of telehealth and EHR has led to a higher volume of healthcare fraud and False Claims Act (FCA) cases, according to lawyers from Hogan Lovells. The...

DOJ, FTC Seek to Modify Merger Guidelines to Foster Competition

by Sarai Rodriguez

The Federal Trade Commission (FTC) and the Justice Department’s Antitrust Division announced plans to modify current merger guidelines across all industries to prevent anticompetitive...

Missoula Surgeon Pays $3.7M to Settle Healthcare Fraud Allegations

by Sarai Rodriguez

David Bellamah, MD, a vascular surgeon in Missoula and Kalispell of Montana, reached a civil settlement and has agreed to pay the federal government $3.7 million to settle healthcare fraud...

AHA Cites Antitrust Concerns Over UnitedHealth-Change Healthcare Deal

by Jill McKeon

In a letter to the Department of Justice’s (DOJ) Antitrust Division, AHA expressed concern over the implications of UnitedHealth Group’s $8 billion acquisition of Change Healthcare, which...

DOJ Recovered $3.1B Following 2020 Healthcare Fraud Investigations

by Jill McKeon

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Former DaVita CEO Faces Healthcare Labor Market Collusion Charges

by Jill McKeon

DaVita and its former CEO Kent Thiry are facing a two-count indictment for healthcare labor market collusion. A federal grand jury in Denver charged the dialysis and kidney care company and its ex-CEO...

$21M Settlement Resolves Healthcare Fraud Accusations for OH System

by Jill McKeon

Akron General Health System (AGHS), a hospital system in Ohio owned by the Cleveland Clinic Foundation, reached a civil settlement and agreed to pay $21 million for allegedly committing healthcare...

DoJ Recovered $2.6B from Healthcare Fraud Cases in 2019

by Samantha McGrail

The Department of Justice recovered over $3 billion from False Claims cases in the 2019 fiscal year, with $2.6 billion coming form healthcare fraud schemes.  In a recent announcement, the Justice...

DOJ Accuses Community Health Network of Medicare Fraud

by Samantha McGrail

The Department of Justice (DoJ) announced on Tuesday that it has filed a complaint against Community Health Network following a whistleblower lawsuit accusing the Indianapolis-based health system...