Health Insurance Fraud Lawsuit

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UnitedHealthcare Pays $80,000 Settlement to HHS to Resolve

(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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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 Health Care …

(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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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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A New Medicare Advantage Fraud Case Is Taking Aim At Data …

(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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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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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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FTC Sends Nearly $7 Million in Refunds to Consumers Harmed by …

(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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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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We Asked Prosecutors if Health Insurance Companies …

(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 rarely sue over fraud because of the

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

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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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US launches antitrust investigation into UnitedHealth, WSJ reports

(7 days ago) WebThe U.S. Department of Justice has launched an antitrust investigation into UnitedHealth Group , the Wall Street Journal reported on Tuesday, citing people with …

https://www.reuters.com/business/healthcare-pharmaceuticals/us-launches-antitrust-investigation-into-unitedhealth-wsj-reports-2024-02-27/

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UnitedHealth sued over use of algorithm in Medicare Advantage …

(9 days ago) Webadvertisement. The lawsuit, filed in the U.S. District Court of Minnesota, accuses UnitedHealth and its subsidiary, NaviHealth, of using the computer algorithm to …

https://www.statnews.com/2023/11/14/unitedhealth-class-action-lawsuit-algorithm-medicare-advantage/

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MultiPlan and major insurers sued for alleged medical price-fixing

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

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

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Is your health insurer using AI to deny you services? Lawsuit says

(9 days ago) WebCoverage decisions are based on the Centers for Medicare & Medicaid Services' criteria and the consumer's insurance plan, the company said. "This lawsuit …

https://www.usatoday.com/story/news/health/2023/11/19/unitedhealth-artificial-intelligence-denies-claims-in-error-lawsuit-says/71579822007/

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US Supreme Court urged to strike lawyers' $667 mln fee in Blue …

(8 days ago) WebThe U.S. Supreme Court was asked on Thursday to strike down $667 million in legal fees and costs won by the plaintiffs’ lawyers in a $2.7 billion class-action settlement …

https://www.reuters.com/legal/government/us-supreme-court-urged-strike-lawyers-667-mln-fee-blue-cross-case-2024-04-25/

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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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Lawsuit alleges ACA plan-switching scheme - Health News Florida

(Just Now) WebA wide-ranging lawsuit filed this past week outlines a moneymaking scheme with Broward County ties by which large insurance sales agency call centers enrolled …

https://health.wusf.usf.edu/health-news-florida/2024-04-17/lawsuit-alleges-aca-plan-switching-scheme-targeted-low-income-consumers

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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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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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False offers of cash subsidies used to ‘capture’ health insurance

(3 days ago) WebA health insurance operation based in Broward County, Florida, used internet ads that falsely promised cash subsidies to sign up clients across the country and replace their …

https://www.msn.com/en-us/money/companies/false-offers-of-cash-subsidies-used-to-capture-health-insurance-customers-lawsuit-alleges/ar-BB1lKhbM

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False offers of cash subsidies used to 'capture' health insurance

(9 days ago) WebThe ads, reproduced in the complaint filed on Friday in U.S. District Court in Fort Lauderdale, promised subsidies of $6,400 a month, $1,400 a month, or a flat …

https://medicalxpress.com/news/2024-04-false-cash-subsidies-capture-health.html

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State of New Jersey

(4 days ago) WebTRENTON – Attorney General Gurbir S. Grewal and the Office of the Insurance Fraud Prosecutor (“OIFP”) today announced charges against 19 individuals …

https://www.nj.gov/oag/newsreleases19/pr20190509c.html

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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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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 to …

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

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How To Protect Your Assets From Lawsuits Or Creditors

(5 days ago) WebHere are nine ways you may consider shielding your assets from a court judgment. 1. Domestic Asset Protection Trusts. Attorney, accountant and author Mark J. …

https://www.forbes.com/advisor/investing/financial-advisor/how-to-protect-your-assets-lawsuits-creditors/

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Retaliation Suit Over Suspected Tax Fraud Reporting May Proceed

(6 days ago) WebApril 26, 2024, 9:22 PM UTC. Retaliation Suit Over Suspected Tax Fraud Reporting May Proceed. By John Woolley. John Woolley. Reporter. Financial offer says …

https://news.bloomberglaw.com/environment-and-energy/retaliation-suit-over-suspected-tax-fraud-reporting-may-proceed

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