Four Insurers Investigated
The U.S. Justice Department has disclosed an investigation in four leading health insurers after a lawsuit accused them of defrauding
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Legal Actions/Court Decisions
Top 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
Read MoreSwab as many people as possible’: Genetic lab pays doctors to push dubious tests, employees say
(By Charles Piller for STAT) For doctors, the brochure1 from a California medical laboratory sounded like easy money: $30 for
Read MorePlateauing
The term “plateauing” is applied to a condition wherein a Medicare beneficiary in need of skilled medical services is improperly
Read MoreOvercharged Medicare
Along with a whistleblower, the U.S. Justice Department has joined the lawsuit against UnitedHealth Group Inc. that claims the insurer,
Read More4 key events since judge blocked Anthem-Cigna deal
(By Morgan Haefner for Becker’s Hospital Review) A U.S. District Court judge sided with the Justice Department Feb. 8 and blocked Indianapolis-based
Read MoreFirst Amendment versus Second Amendment
On Thursday, the 11th U.S. Circuit Court of Appeals ruled that Florida’s so called “Docs and Glocks” law violated a
Read MoreExclusive CRISPR licenses slow development of therapies, legal experts argue
(By Sharon Begley for STAT) The exclusive licenses granted to three for-profit companies on key discoveries about the revolutionary genome-editing technology
Read MoreBroad Institute Wins Big Battle Over CRISPR Gene-Editing Patent
(By Richard Harris for NPR) The U.S. patent office has delivered a potentially lucrative victory to bioengineer Feng Zhang of
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