Massachusetts accuses UHS of Medicaid billing fraud
(By Ayla Ellison for Becker’s Hospital Review) The state of Massachusetts intervened Monday in a landmark false claims case accusing King of
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Legal Actions/Court Decisions
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
(By Fred Schulte for Kaiser Health News) The Justice Department has joined a California whistleblower’s lawsuit that accuses insurance giant
Read MoreAnthem says it’s ‘more successful’ than Cigna at cutting medical costs
(By Morgan Haefner for Becker’s Hospital Review) Although the Justice Department has said a merger between Indianapolis-based Anthem and Bloomfield,
Read MoreTwo of the Six Counterclaims against Anthem Inc. Dismissed
U.S. District Judge Edgardo Ramos dismissed Express Scripts’ claim that Anthem breached an implied covenant of good faith and fair
Read MoreSuing to Recover Medicare and Medicaid Payments
Four of the largest asbestos bankruptcy trusts are being sued by the Attorney General of Utah in effort to force
Read MoreGAO To Launch Investigation Of FDA’s Orphan Drug Program
(By Sarah Jane Tribble for Kaiser Health News) Acting on a request from three influential U.S. senators, the government’s accountability
Read MoreCMS delays major bundled payment initiatives: 6 things to know
(Ayla Ellison For Becker’s Hospital Review) CMS issued an interim final rule Monday that delays implementation of cardiac care bundled
Read MoreFour Insurers Investigated
The U.S. Justice Department has disclosed an investigation in four leading health insurers after a lawsuit accused them of defrauding
Read MoreTop 10 states for Medicaid fraud recoveries
(By Ayla Ellison for Becker’s Hospital Review) Medicaid Fraud Control Units were responsible for 1,564 convictions and had $1.8 billion
Read MoreCMS fines UnitedHealthcare $2.5M over improper Medicare denials, delays
(By Morgan Haefner for Becker’s Hospital Review) CMS fined Minnetonka, Minn.-based UnitedHealthcare $2.5 million after an audit found systemic compliance
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