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FCA Healthcare roundup: Two cases of medically unnecessary products and services
Our in-brief, biweekly roundup of notable DOJ False Claims Act cases related to healthcare fraud.
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FCA Healthcare roundup: Three cases of Medicare and Medicaid fraud in IL, MN, NY
Our in-brief, biweekly roundup of notable US Department of Justice False Claims Act cases related to healthcare fraud.
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FTC resolves Express Scripts case with ‘landmark settlement’
The pharmacy benefits manager has copped to artificially inflating the list price of drugs by using unfair rebating practices.
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DOJ files FCA complaint against Louisiana hospital group, three hospitals, physician
The complaint alleges a scheme to provide unnecessary medical care to increase Medicare payouts.
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DOJ secures record-breaking $6.8 billion in False Claims Act settlements, judgments for FY 2025
The healthcare fraud category took the lion’s share with a staggering $5.7 billion in recovered funds from FCA matters.
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A transformational 2025 in US healthcare – and more to come in 2026
In many ways, 2025 found the healthcare sector at a crossroads, with compliance officers holding their heads.
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Georgia man sentenced to 46 months in prison for Medicare fraud
Patrick C Moore targeted Medicare beneficiaries to accept genetic tests that were not medically necessary or eligible for reimbursement.
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Aesculap Implant Systems to pay $38.5m to settle False Claims Act violation allegations
The settlement resolves allegations that the Pennsylvania-based company sold its knee replacement system despite knowing defects.