All Healthcare articles – Page 11
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ArticleModMed settles FCA, kickback allegations with DOJ for $45M
Modernizing Medicine paid $45 million to settle false claims allegations levied by the Department of Justice it received kickbacks and made improper payments to providers to increase its business.
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ArticleSutter Health to pay $13M for lab testing false claims
Sutter Health agreed to pay more than $13 million for violating the False Claims Act by billing the United States for toxicology tests it did not conduct but outsourced to other labs, the Department of Justice announced.
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ArticleCarter Healthcare, former execs to pay $30M in DOJ settlements over false claims
Home healthcare provider Carter Healthcare and its former chief executive officer and chief operations officer agreed to pay more than $30 million total under two settlements alleging the parties engaged in kickbacks to doctors and filed false claims.
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ArticleEyeMed fined $4.5M over cybersecurity lapses that led to breach
EyeMed Vision Care agreed to pay $4.5 million as part of a settlement with the New York State Department of Financial Services for cybersecurity control failures that helped enable a 2020 data breach.
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ArticleDOJ intervenes in lawsuit against Cigna alleging Medicare fraud
Cigna created a home visit program for Medicare patients that artificially inflated government payments by intentionally incorrectly diagnosing tens of thousands of patients with serious illnesses, the Department of Justice charged in an intervenor complaint.
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USOSM names chief compliance officer
U.S. Oral Surgery Management announced the appointment of Erik Pahl as general counsel and chief compliance officer.
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ArticlePharma, whistleblower lessons learned from $900M Biogen settlement
Experts discuss the ramifications of Biogen’s $900 million settlement for False Claims Act violations, including the $266.4 million whistleblower bounty in the case believed to be the largest single award under any government program.
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ArticleBiogen finalizes $900M settlement in false claims whistleblower suit
Biogen finalized a $900 million settlement concerning alleged kickbacks it paid to doctors to induce them to prescribe the company’s drugs and not those of its competitors.
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ArticlePhilips to pay $1.3M in second kickback settlement in month
Philips RS North America agreed to pay approximately $1.3 million to settle charges it unlawfully paid kickbacks as part of its second resolution addressing alleged False Claims Act violations this month.
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Lighthouse Guild adds chief compliance officer
Lighthouse Guild, a provider of medical assistance and social support to people who are blind or visually impaired, announced the appointment of Nicole Hart as general counsel and chief compliance officer.
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Kettering Health appoints chief compliance officer
Nonprofit medical center network Kettering Health announced the appointment of Audrey Adams Mondock as chief compliance officer and vice president of corporate integrity and ethics.
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ArticleDems seek stronger HIPAA privacy for abortion patients
Democratic senators are urging the Department of Health and Human Services to strengthen federal health privacy protections for abortion patients by updating the HIPAA Privacy Rule.
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Centene appoints chief ethics and compliance officer
Managed care company Centene Corp. announced the appointment of Ashlee Knuckey as chief ethics and compliance officer.
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ArticlePhilips subsidiary to pay $24M for kickback violations
Philips RS North America agreed to pay more than $24 million to settle allegations it paid kickbacks to medical equipment suppliers to push its products ahead of other brands that are provided to patients of federal health programs.
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ArticleEssilor agrees to $22M settlement over kickback charges
Essilor, a manufacturer and distributor of optical lenses and equipment, will pay $22 million to settle allegations it paid kickbacks to spur sales in violation of the False Claims Act.
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ArticleCalif. health system, healthcare providers to pay $70.7M over false claims
Gold Coast Health Plan and three California county healthcare service providers will pay a total of $70.7 million to settle allegations they violated the False Claims Act regarding California’s Medicaid program, Medi-Cal.
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ArticleFTC warns against COPA laws for hospital mergers
The Federal Trade Commission is urging state lawmakers to avoid the use of Certificates of Public Advantage for hospital mergers, warning the certificates increase costs for patients, slow wage growth for healthcare workers, and lead to compliance difficulties.
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Benefytt to refund $100M to customers who paid for sham health plans
The Federal Trade Commission ordered Florida-based Benefytt Technologies to refund $100 million to consumers who received sham healthcare insurance plans bundled with services they did not order.
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ArticleSurgalign to pay $2M to settle accounting fraud charges
Medical implant manufacturer Surgalign will pay a $2 million penalty handed down by the SEC and recoup nearly $600,000 in incentive-based compensation from four senior executives who allegedly manipulated the company’s financial statements.
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ArticleProposed NIST cybersecurity guide incorporates HIPAA Security Rule
The National Institute of Standards and Technology is seeking comment on proposed guidance intended to help healthcare organizations that fall under the regulatory umbrella of the Health Insurance Portability and Accountability Act’s Security Rule.