Appeals court sides with Medicare in fight over drug price power
Court upholds drug price negotiation program, rejecting BMS and Janssen
Medicare
Virginia psychotherapist to pay over $1.2M after billing Medicaid and Medicare for services never rendered
RICHMOND, VA – A 72-year-old licensed clinical social worker from
Pennsylvania vision testing firm to pay $14.25M in Medicare fraud settlement over unapproved device use
NEWARK, N.J. – Diopsys, Inc., a medical device manufacturer based
New York Senator Chuck Schumer Once Admitted One-Third of Medicare is Fraudulent
NEW YORK – A 2010 video of Senate Majority Leader
Healthcare Providers Agree to Pay Back $1.9 Million in Medicare Fraud
WASHINGTON DC — Several doctors, medical practices, and a marketing
California Man Convicted in $4 Million Medicare Fraud
California Man Convicted in $4 Million Medicare Fraud
**DETROIT, MI** – A federal jury convicted a man from California for defrauding Medicare of over $4 million through fraudulent urine drug testing claims. Sherif Khalil, 50, of Redondo Beach, was found guilty of submitting claims for tests that were not requested by doctors.
Khalil owned Spectra Clinical Labs, a toxicology lab in Gardena, California, and was involved in a scheme where he paid marketers for obtaining expensive drug test orders from doctors. The payments were disguised by channeling them through marketing companies under Khalil’s control.
Medicare paid out over $4 million for these unnecessary tests, resulting from the illegal kickbacks. Khalil faces sentencing on August 7, with potential penalties of up to 20 years for health care fraud and five years for conspiracy related charges.
The case was announced by officials from the Justice Department, the FBI, and the Department of Health and Human Services. Trial Attorneys prosecuted the case as part of the Health Care Fraud Strike Force Program.
Texas neurosurgeon to pay $2 million in false Medicare billing settlement
HOUSTON — Dr. Rajesh Bindal, a 53-year-old neurosurgeon from Sugar
Doctor Convicted for $5.4M Medicare Fraud Scheme
According to court documents and evidence presented at trial, Adarsh
South Carolina Man Sentenced in Massive Medicare Fraud Scheme
COLUMBIA, S.C. — Andrew Chmiel, a 48-year-old resident of Mt.
Tennessee Podiatrist Convicted in Medicare Fraud Scheme
MEMPHIS, TN – Nathan Lucas, D.P.M., a 59-year-old podiatrist from
Cigna to sell Medicare business to Health Care Service for $3.3 billion – WSJ
(Reuters) – Cigna has agreed to sell its Medicare business
HCSC, Elevance compete for Cigna Medicare Advantage unit – Bloomberg News
(Reuters) – Health Care Service Corp and Elevance Health are
Man Charged in $148M Medicare and Medicaid Fraud Scheme
A federal grand jury in Baton Rouge returned an indictment
Philadelphia Pharmacy Owner Pleads Guilty to Medicare Fraud
HARRISBURG, PA – Attorney General Michelle Henry announced that Philadelphia-based
Chief Compliance Officer Sentenced for $50M Medicare Fraud Scheme
A Florida man was sentenced today to four years and
Cigna to Pay $172 Million in Medicare Advantage False Claims Settlement
HARTFORD, CT – Healthcare insurer Cigna has agreed to pay
Column-US Medicare drug negotiations a good start on bringing down healthcare costs
By Mark Miller (Reuters) – An important Biden administration effort
Biden Admin Unveils List Of Drugs Subject To Medicare Price Negotiations
Biden Admin Unveils List Of Drugs Subject To Medicare Price
Medicare offers details on reimbursement for new Alzheimer’s drugs
By Julie Steenhuysen CHICAGO (Reuters) -The U.S. Medicare health plan
US budget deficit mushrooms in May as revenue falls, Medicare outlays jump
(Reuters) – The U.S. budget deficit swelled in May from
Vulnerable House Dems Back Bernie Sanders’ Left-Wing ‘Medicare For All’ Proposal
Vulnerable House Dems Back Bernie Sanders’ Left-Wing ‘Medicare For All’
Exclusive-Lilly expects US Medicare to reverse course, fully cover Alzheimer’s drugs
By Deena Beasley and Julie Steenhuysen (Reuters) – Eli Lilly
July goal set for final US Medicare drug negotiation guidance
By Ahmed Aboulenein WASHINGTON (Reuters) – The U.S. government aims
Economists warn of costs if US Medicare covers new obesity drugs
By Nancy Lapid (Reuters) – The cost of expanding U.S.
Biden proposes to raise taxes on high earners to avert Medicare funding crisis- WaPo
(Reuters) – The White House will propose raising taxes on
Republican U.S. Senator Rick Scott drops plan to cut Social Security, Medicare
By David Morgan WASHINGTON (Reuters) – U.S. Senator Rick Scott
U.S. to select 10 costliest drugs for Medicare pricing negotiation
By Ahmed Aboulenein WASHINGTON (Reuters) – The U.S. government will
Biden Pledges To Prevent Medicare Cuts — But He’s Cutting Medicare Advantage Right Now
Biden Pledges To Prevent Medicare Cuts — But He’s Cutting
Trump warns U.S. House Republicans not to touch Social Security, Medicare
By David Morgan WASHINGTON (Reuters) – Former President Donald Trump
Man Pleads Guilty To Committing Multi-Million-Dollar Fraud Against Medicare By Selling Bogus Orders For Medical Equipment
Damian Williams, the United States Attorney for the Southern District
Long Island Medical Doctor Sentenced to 30 Months in Prison for Medicare Billing Fraud Scheme
Earlier today, in federal court in Central Islip, Morris Barnard,
Greenwich Psychologist Admits Defrauding Medicaid, Medicare and Private Insurers
Vanessa Roberts Avery, United States Attorney for the District of
Former VA Psychologist Charged With Submitting False Medical Documents to Employer, Obstruction of Justice, Medicare Fraud
Benton, Ill. – A federal grand jury in Benton, Illinois,
Lenexa Man, Woman Indicted for $2.9 Million Medicare Fraud Conspiracy
KANSAS CITY, Mo. – A Lenexa, Kansas, man and woman
Ambulance Company Settles Allegations of Billing Medicare for Unnecessary, Non-Emergency Ambulance Transportation
Fairview Heights, Ill. – HealthOne Critical Care Transport Service, Inc.
Milwaukee Man Sentenced to Federal Prison for Conspiracy to Defraud Medicare and Medicaid.
Gregory J. Haanstad, United States Attorney for the Eastern District
10 charged in business email compromise and money laundering schemes targeting Medicare, Medicaid, and other victims
ATLANTA – The U.S. Department of Justice announced charges against
Column-Warnings of Medicare fraud mount; here is how to avoid it
By Mark Miller (Reuters) – A new report from the
Lehigh Valley Psychiatrist Charged With Stealing From Medicare Through Improper Billing Scheme
PHILADELPHIA – United States Attorney Jacqueline C. Romero announced that
Home health manager sent to prison for $21M Medicare fraud scheme
HOUSTON – The last convicted in a large-scale multi-year home
Oswego Hospital Agrees to Pay $98,694.36 for Improper Medicare and Medicaid Billing
SYRACUSE, NEW YORK – Oswego Hospital has agreed to pay
Open medicare enrollment assistance in Toms River available to seniors
TOMS RIVER, NJ – If you are 65 years of
CVS Health, Centene lead health insurers lower after 2023 Medicare ratings
(Reuters) -Shares of drugstore operator CVS Health fell as much
Physician Pleads Guilty to Making False Statements for More Than 2,000 Medicare, Medicaid Patients
KANSAS CITY, Mo. – A former Joplin, Mo., physician pleaded
Florida Businessman Charged with Conspiracy Involving Approximately $25 Million in Fraudulent Medicare Claims for Genetic Testing Submitted by Lawrence County Medical Facility
PITTSBURGH, Pa. – A resident of Fort Lauderdale, Florida, was
Column: How Medicare reforms could help U.S. retirees facing high inflation
By Mark Miller (Reuters) – U.S. seniors tell pollsters that
Man Charged With Multi-Million Dollar Medicare Fraud In Connection With False Claims For Durable Medical Equipment
Damian Williams, the United States Attorney for the Southern District
Sacramento Area Home Health Care and Hospice Agencies Owner Sentenced to 18 Months in Prison for Conspiring to Defraud Medicare
SACRAMENTO, Calif. — U.S. District Judge Troy L. Nunley sentenced
Physician Assistant Is Indicted For Role In $10 Million Medicare Fraud Scheme
CHARLOTTE, N.C. – A physician assistant is facing federal charges