#healthcare-fraud
#healthcare-fraud

Medicine

California pharmacist accused of submitting more than $300 million in fraudulent claims

A pharmacist in the Inland Empire charged with health care fraud for submitting over $300 million in fraudulent Medi-Cal claims. [ more ]

www.nytimes.com

2 weeks ago

US news

California Drug Clinic Operator Convicted in $3 Million Kickback Scheme

Casey Mahoney was convicted for paying illegal kickbacks totaling $3 million for patient referrals to addiction treatment centers he operated. [ more ]

The Mercury News

Medicine

California pharmacist accused of submitting more than $300 million in fraudulent claims

A pharmacist in the Inland Empire charged with health care fraud for submitting over $300 million in fraudulent Medi-Cal claims. [ more ]

moreillegal-kickbacks

Miami Herald

2 weeks ago

New York City

Before rotting body found, state ripped North Miami nursing home for nasty conditions

The North Dade Nursing and Rehabilitation Center has a history of neglect and poor regulatory compliance, culminating in the recovery of a decomposed body.

Recent criticisms highlight a culture of disrespect and inadequate care for nursing home residents. Especially notable was the mockery directed at residents with feeding difficulties. [ more ]

Cbsnews

Medicine

Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Federal officials backed off plan to curb Medicare Advantage overcharges due to industry pressure, leading to ongoing fraud allegations against insurers. [ more ]

#legal-accountability

Miami Herald

Medicine

An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud

Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices. [ more ]

www.aljazeera.com

Medicine

US charges 193 people in $2.7bn healthcare fraud crackdown

Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona. [ more ]

www.mercurynews.com

Medicine

Bay Area psychiatrist arrested in $100 million drug fraud investigation

A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme. [ more ]

Miami Herald

Medicine

An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud

Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices. [ more ]

www.aljazeera.com

Medicine

US charges 193 people in $2.7bn healthcare fraud crackdown

Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona. [ more ]

www.mercurynews.com

Medicine

Bay Area psychiatrist arrested in $100 million drug fraud investigation

A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme. [ more ]

morelegal-accountability

#legal-charges

Sacramento Bee

Medicine

Fake plastic surgeon causes 'great' injury to woman, CA officials say. He's charged

A man faces multiple charges for performing unlicensed cosmetic surgery, resulting in injury. [ more ]

Fast Company

Medicine

$2.7 billion in healthcare fraud is revealed in DOJ's nationwide crackdown

Healthcare fraud crackdown charges 200 people with $2.7 billion in false claims, including exploiting dying patients. [ more ]

Miami Herald

Medicine

Read the indictment against Hialeah Councilwoman Angelica Pacheco in healthcare fraud case

Councilwoman Angelica Pacheco pleaded not guilty to healthcare fraud charges, involving millions of dollars in false billing for unnecessary services. [ more ]

Miami Herald

Medicine

Ex-doctor at Hialeah councilwoman's clinic was convicted of similar healthcare fraud

Hialeah Councilwoman Angelica Pacheco faces criminal charges for healthcare fraud conspiracy involving a former doctor, Jose Santeiro. [ more ]

Sacramento Bee

Medicine

Fake plastic surgeon causes 'great' injury to woman, CA officials say. He's charged

A man faces multiple charges for performing unlicensed cosmetic surgery, resulting in injury. [ more ]

Fast Company

Medicine

$2.7 billion in healthcare fraud is revealed in DOJ's nationwide crackdown

Healthcare fraud crackdown charges 200 people with $2.7 billion in false claims, including exploiting dying patients. [ more ]

Miami Herald

Medicine

Read the indictment against Hialeah Councilwoman Angelica Pacheco in healthcare fraud case

Councilwoman Angelica Pacheco pleaded not guilty to healthcare fraud charges, involving millions of dollars in false billing for unnecessary services. [ more ]

Miami Herald

Medicine

Ex-doctor at Hialeah councilwoman's clinic was convicted of similar healthcare fraud

Hialeah Councilwoman Angelica Pacheco faces criminal charges for healthcare fraud conspiracy involving a former doctor, Jose Santeiro. [ more ]

morelegal-charges

www.theguardian.com

Medicine

John Oliver on US for-profit hospice care: too important to just hope the free market fixes it'

Hospice care in the US, initially beneficial, is now marred by for-profit practices leading to potential abuse and poor patient care. [ more ]

#philip-esformes

Sun Sentinel

Miami

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but is spared prison time

Philip Esformes pleaded guilty to Medicare fraud after initially receiving a 20-year sentence commuted by President Trump.

Esformes admitted to engaging in criminal activity as a healthcare operator, paying and receiving bribes in exchange for Medicare patients. [ more ]

Miami Herald

US politics

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but spared prison time

Philip Esformes had his 20-year sentence for Medicare fraud scheme commuted by President Trump.

Esformes agreed to financial penalties after pleading guilty to healthcare fraud. [ more ]

Sun Sentinel

Miami

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but is spared prison time

Philip Esformes pleaded guilty to Medicare fraud after initially receiving a 20-year sentence commuted by President Trump.

Esformes admitted to engaging in criminal activity as a healthcare operator, paying and receiving bribes in exchange for Medicare patients. [ more ]

Miami Herald

US politics

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but spared prison time

Philip Esformes had his 20-year sentence for Medicare fraud scheme commuted by President Trump.

Esformes agreed to financial penalties after pleading guilty to healthcare fraud. [ more ]

morephilip-esformes

Boston.com

9 months ago

Public health

Canton surgeon convicted of health care fraud in opioid scheme

An orthopedic surgeon in Canton, Massachusetts was convicted of health care fraud involving opioid prescriptions.

The surgeon billed more than 60 patients per day and prescribed opioids that were not medically needed.

The conviction highlights the commitment to combat opioid abuse and protect taxpayer-funded health care programs. [ more ]

#false-claims-act

Brooklyn, NY Patch

Medicine

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients. [ more ]

Brooklyn Eagle

Medicine

Brooklyn-based eye doctor must pay $2.4M plus to resolve false-billing claims

Ophthalmologist and practice fined $2.4M for falsely billing Medicare and Medicaid. [ more ]

Brooklyn, NY Patch

Medicine

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients. [ more ]

Brooklyn Eagle

Medicine

Brooklyn-based eye doctor must pay $2.4M plus to resolve false-billing claims

Ophthalmologist and practice fined $2.4M for falsely billing Medicare and Medicaid. [ more ]

morefalse-claims-act

Brooklyn Paper

2 months ago

Brooklyn

Money malpractice: Ex-SUNY physician charged with grand larceny for million-dollar theft to support 'lavish lifestyle' * Brooklyn Paper

A former chair of emergency medicine at SUNY Downstate Medical Center is facing criminal charges for allegedly using company credit card for personal expenses. [ more ]

#telehealth

ABC7 San Francisco

Medicine

CDC warns access to ADHD meds may be disrupted after arrests of health-care startup executives

People with ADHD may face access disruptions to medication due to the indictment of telehealth executives. [ more ]

The Verge

Medicine

Feds arrest Adderall telehealth CEO under Controlled Substances Act

Exploitation of telehealth for illegal drug distribution. [ more ]

www.nytimes.com

Medicine

Telehealth Startup Executives Charged With Fraud Over Adderall Prescriptions

Patients may face disruptions in ADHD care due to fraudulent distribution of stimulants by a telehealth company. [ more ]

ABC7 San Francisco

Medicine

CDC warns access to ADHD meds may be disrupted after arrests of health-care startup executives

People with ADHD may face access disruptions to medication due to the indictment of telehealth executives. [ more ]

The Verge

Medicine

Feds arrest Adderall telehealth CEO under Controlled Substances Act

Exploitation of telehealth for illegal drug distribution. [ more ]

www.nytimes.com

Medicine

Telehealth Startup Executives Charged With Fraud Over Adderall Prescriptions

Patients may face disruptions in ADHD care due to fraudulent distribution of stimulants by a telehealth company. [ more ]

moretelehealth

Los Angeles Times