Health Insurance Fraud Lawsuit

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UnitedHealthcare Pays $80,000 Settlement to HHS to …

(2 days ago) WEBOCR settles forty-fifth HIPAA Right of Access investigation . Today, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) has announced a settlement with UnitedHealthcare Insurance Company (“UHIC”), a …

https://www.hhs.gov/about/news/2023/08/24/unitedhealthcare-pays-80000-settlement-hhs-resolve-hipaa-matter-patient-medical-records-request.html

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DOJ announces 78 people charged over $2.5 billion in false health …

(5 days ago) WEBThe Justice Department on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate schemes …

https://abcnews.go.com/Politics/doj-announces-78-people-charged-nationwide-health-care/story?id=100447219

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WEBChildren’s Health Insurance Program (CHIP) $16.9. U.S. Customs and Border Protection Many of the fraud lawsuits were initially brought by former employees under a federal whistle-blower law

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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Cigna to pay $172 million to settle charges it overcharged …

(8 days ago) WEBOctober 2, 2023 / 5:44 PM EDT / MoneyWatch. Health insurance giant Cigna will pay more than $172 million to settle federal claims that it knowingly submitted false diagnosis …

https://www.cbsnews.com/news/cigna-insurance-settlement-172-million/

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Justice Department Charges Dozens for $1.2 Billion in …

(3 days ago) WEBPrior to the charges announced as part of today’s nationwide enforcement action and since its inception in March 2007, the Health Care Fraud Strike Force, which …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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US announces charges in $2.5 billion healthcare fraud takedown

(9 days ago) WEBThe U.S. Justice Department on Wednesday announced federal and local criminal charges targeting 78 defendants across 16 states as part of a law enforcement …

https://www.reuters.com/legal/us-announces-charges-25-billion-healthcare-fraud-takedown-2023-06-28/

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Office of Public Affairs National Health Care Fraud …

(8 days ago) WEBThe cases that fall into more traditional categories of health care fraud include charges against over 60 defendants who allegedly participated in schemes to …

https://www.justice.gov/opa/pr/national-health-care-fraud-enforcement-action-results-charges-involving-over-14-billion

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A New Medicare Advantage Fraud Case Is Taking Aim At …

(Just Now) WEBA data analytics team facilitated the fraud, the lawsuit alleges. John Lund/Getty Images The Justice Department has accused an upstate New York health …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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United States Files Civil Fraud Lawsuit Against Cigna For …

(7 days ago) WEBThe lawsuit seeks damages and penalties under the False Claims Act for CIGNA’s submissions to the Government of false and invalid patient diagnosis codes to …

https://www.justice.gov/usao-sdny/pr/united-states-files-civil-fraud-lawsuit-against-cigna-artificially-inflating-its

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FTC Sends Nearly $7 Million in Refunds to Consumers …

(6 days ago) WEBAccording to the FTC’s complaint against CHBA, related entities, and their owners, the company targeted consumers who searched online for information about …

https://www.ftc.gov/news-events/news/press-releases/2023/11/ftc-sends-nearly-7-million-refunds-consumers-harmed-medical-discount-plans-sold-health-insurance

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UnitedHealth Faces Antitrust Probe by US Justice Department (2)

(6 days ago) WEBUnitedHealth Group Inc. The US Department of Justice has initiated an antitrust investigation into UnitedHealth Group Inc., people familiar with the matter said …

https://news.bloomberglaw.com/health-law-and-business/unitedhealth-faces-justice-department-antitrust-probe-wsj-says

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We Asked Prosecutors if Health Insurance Companies Care About …

(1 days ago) WEBA rigorous search for civil lawsuits filed by private health insurers over fraud in California turned up just one case in 2017 and 2018. Experts said insurers …

https://www.propublica.org/article/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBPROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by devising …

https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/press-releases/nurse-practitioner-sentenced-twelve-million-dollar-health-care-fraud-scheme

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Justice Dept. Sues to Block $13 Billion Deal by UnitedHealth Group

(3 days ago) WEBFeb. 24, 2022. WASHINGTON — The Justice Department on Thursday sued to block a $13 billion acquisition of a health technology company by a subsidiary of UnitedHealth …

https://www.nytimes.com/2022/02/24/business/doj-antitrust-lawsuit-unitedhealth.html

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U.S. Opens UnitedHealth Antitrust Probe - WSJ

(6 days ago) WEBThe Justice Department has launched an antitrust investigation into UnitedHealth, owner of the biggest U.S. health insurer, a leading manager of drug …

https://www.wsj.com/health/healthcare/u-s-launches-antitrust-investigation-of-healthcare-giant-unitedhealth-ff5a00d2

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Health Care Fraud — FBI

(8 days ago) WEBThe FBI is the primary agency for investigating health care fraud, for both federal and private insurance programs. The FBI investigates these crimes in partnership with: …

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

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Manhattan U.S. Attorney Announces Charges Against 36 …

(Just Now) WEBLargest No-Fault Automobile Insurance Fraud Case Charged to Date Includes 10 Doctors and Three Lawyers; Charges Also Include Racketeering and Money Laundering U.S. …

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-36-individuals-for-participating-in-279-million-health-care-fraud-scheme

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Ambetter Insurance Scam Lawsuit Wexler Boley & Elgersma LLP

(8 days ago) WEBThe lawsuit alleges that, among other things, Centene overcharged predominantly low-income individuals across 26 states—and the federal government, which provides …

https://wbe-llp.com/cases/ambetter-insurance-scam-lawsuit/

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Office of Public Affairs Justice Department’s False Claims Act

(4 days ago) WEBHealth Care Fraud. Health care fraud was once again the leading source of the department’s False Claims Act settlements and judgments this past year. The …

https://www.justice.gov/opa/pr/justice-department-s-false-claims-act-settlements-and-judgments-exceed-56-billion-fiscal-year

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MultiPlan and major insurers sued for alleged medical price-fixing

(5 days ago) WEBMultiPlan is facing a new class action lawsuit that alleges the company and large health insurers “conspired to fix, suppress, and stabilize” payments made for out …

https://www.statnews.com/2024/04/26/multiplan-allegiance-lawsuit/

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Michigan Doctor Faces Trial for Alleged $400K Disability Insurance …

(7 days ago) WEBA Michigan doctor was bound over last week in the 48th District Court in Bloomfield Hills on charges stemming from an allegedly fraudulent disability insurance …

https://www.insurancejournal.com/news/midwest/2024/04/23/771244.htm

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Indianapolis health care giant must face federal lawsuit alleging

(5 days ago) WEBIndianapolis-based health insurance giant Elevance Health, previously Anthem, Inc., will have to face a federal lawsuit alleging it pocketed at least tens of …

https://www.wfyi.org/news/articles/indianapolis-health-care-giant-must-face-federal-lawsuit-alleging-medicare-fraud

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PLAINTIFF v. DEFENDANT 3:2033av00001 - Justia Dockets & Filings

(1 days ago) WEBFiling 11504 NOTICE OF REMOVAL by DEFENDANT Cigna Health and Life Insurance Company from Superior Court of New Jersey, Law Division, Middlesex …

https://dockets.justia.com/docket/new-jersey/njdce/3:2033av00001/188486

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WEBThe lawsuit in U.S. District Court in Newark is one of a growing number of cases nationwide to allege fraud at hospice companies under the federal False Claims …

https://www.northjersey.com/story/news/health/2023/01/03/nurse-alleges-life-source-services-oradell-sent-patients-to-hospice-for-profit/69767967007/

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Navigating False Claim Act Qui Tam False Claim Act Provisions

(6 days ago) WEBThe False Claims Act’s qui tam provisions allow individuals to report fraud, waste, and abuse (FWA) to the federal government and allows the federal government …

https://www.natlawreview.com/article/qui-tam-lawsuits-what-you-need-know-you-file-2024

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Amid swirl of lawsuits, stock drop, Globe Life execs say allegations

(9 days ago) WEBThe life and health insurance company posted revenue of $1.42 billion in the period. Its adjusted revenue was $1.4 billion, which also did not meet Street forecasts. …

https://insurancenewsnet.com/innarticle/amid-swirl-of-allegations-stock-drop-globe-life-execs-say-allegations-unfounded

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Investors sue home insurer in Louisiana, alleging fraud Business …

(9 days ago) WEBIn the summer of 2021, the lawsuit said, a contractor reported that a check from Lighthouse bounced, and the Louisiana Department of Insurance put the company …

https://www.nola.com/news/business/investors-sue-home-insurer-in-louisiana-alleging-fraud/article_9a07df84-0284-11ef-8929-434ff8a32b77.html

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Halifax Health Stops Bid to Revive Manager’s Retaliation Suit

(Just Now) WEBHalifax Health Inc. defeated a former operations manager’s attempt to reinstate a lawsuit asserting that she was fired in retaliation for calling attention to …

https://news.bloomberglaw.com/federal-contracting/halifax-health-stops-bid-to-revive-managers-retaliation-suit

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