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  2. Whistleblower Lawsuit Against Humana: Settles Medicare ... - AOL

    www.aol.com/whistleblower-lawsuit-against-humana...

    Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...

  3. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

  4. US probes UnitedHealth's Medicare billing practices ... - AOL

    www.aol.com/news/doj-probes-unitedhealths...

    The civil fraud investigation is examining the company's practices for recording diagnoses that trigger extra payments to its Medicare Advantage plans, the newspaper reported, citing people ...

  5. From ‘overweight’ to ‘morbid obesity: Ghe U.S ... - AOL

    www.aol.com/finance/overweight-morbid-obesity...

    More than two dozen whistleblower lawsuits, some dating back more than a decade, have accused Medicare health plans of overcharging the government by billing for medical conditions not supported ...

  6. United States v. GlaxoSmithKline - Wikipedia

    en.wikipedia.org/wiki/United_States_v._Glaxo...

    The Judge Donald W. VanArtsdalen of United States District Court ruled that the three had contributed significantly to the Government's case against SmithKline. ordered the government to pay $42.3 million to three men who helped the Justice Department expose Medicare fraud at SmithKline Beecham Clinical Laboratories Inc. [6] [9] The Justice ...

  7. Health Management Associates (Florida company) - Wikipedia

    en.wikipedia.org/wiki/Health_Management...

    The lawsuits alleged a wide-ranging strategy that attempted to inflate HMA's payments from Medicare and Medicaid by increasing hospital admissions. The Justice Department accused HMA of admitting patients to hospitals regardless of whether they needed hospital care and pressuring doctors to admit patients to the hospital.

  8. Healthcare exec Philip Esformes pleads guilty to Medicare ...

    www.aol.com/healthcare-exec-philip-esformes...

    A South Florida businessman pleaded guilty on Thursday to stealing millions of dollars from the taxpayer-funded Medicare program, capping a long-running healthcare fraud case marked by a ...

  9. List of largest pharmaceutical settlements - Wikipedia

    en.wikipedia.org/wiki/List_of_largest...

    The settlement amount includes both the civil (False Claims Act) settlement and criminal fine. Glaxo's $3 billion settlement included the largest civil False Claims Act settlement on record, [1] and Pfizer’s $2.3 billion ($3.5 billion in 2022) settlement including a record-breaking $1.3 billion criminal fine. [2]