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Tenet Healthcare to pay $513M in kickback settlement

Jaclyn Jaeger | October 3, 2016

Tenet Healthcare and several of its subsidiaries today agreed to pay more than $513 million to resolve criminal charges and civil claims relating to a scheme to pay kickbacks in return for patient referrals.

Specifically, Tenet will pay $368 million to settle civil allegations that Tenet paid kickbacks to Clinica de la Mama, an obstetric clinic serving primarily undocumented Hispanic women, and related entities to induce the referral of those patients to its hospitals for labor and delivery and therefore, submitted false claims to the Georgia Medicaid program. Certain of these patients were eligible for Medicaid while others qualified for Emergency Medical Assistance, a Medicaid program providing coverage for emergency conditions, including childbirth for undocumented immigrants. The hospitals also obtained additional Medicare reimbursement from the United States based on the influx of these low-income patients.

“Tenet took advantage of vulnerable pregnant women in...

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