DOD health contractors rack up more than $100M in excess payments, DOJ alleges
By 
Adrianne Appel2025-02-18T20:08:00
Six health centers that contracted with the Department of Defense (DOD), intentionally overbilled the government for more than $100 million, the Department of Justice (DOJ) alleged in announcing a settlement with one of the plans.
The six plans, which includes The Johns Hopkins Medical Services Corporation and SVCMC Inc., formerly known as St. Vincents Catholic Medical Centers of New York, provide healthcare to active and retired military personnel and their families through the Uniformed Services Family Health Plan. The DOJ has reached a $29 million settlement with SVCMC and it is pursuing claims against the other five.
In 2012, SVCMC noticed that the government had made a mistake and labeled their patients as sicker than they actually were, resulting in a higher reimbursement rate, the DOJ said.
Related articles
-
Basic PageFCA enforcement rising across sectors, experts at the Women in Compliance Summit say
Federal agencies, including the Department of Justice (DOJ) and Customs and Border Protection, are expected to significantly alter the enforcement scope of the False Claims Act to reflect the enforcement priorities of the Trump Administration, experts speaking at Compliance Week’s Women in Compliance Summit in Austin, Texas.
-
News BriefInterim DOJ Civil Division head nominated to take on full role
President Donald Trump announced his intent to nominate Brett Shumate, the current acting head of the Civil Division at the Department of Justice, to assistant attorney general of the division. Shumate’s nomination to the arm of the DOJ that primarily handles civil cases comes at a time when Trump’s administration ...
-
News BriefArizona couple pleads guilty in vast $1.2B skin graft false claims case
Two owner-operators of three Arizona medical companies have pleaded guilty to billing more than $1.2 billion in false and fraudulent claims to Medicare and other government health programs in less than two years, the Department of Justice said.
More from Regulatory Enforcement
-
News BriefDOJ charges crypto executive with laundering $530M for sanctioned Russian banks
The Department of Justice has charged the founder of cryptocurrency company Evita with 22 violations for allegedly laundering more than $500 million through U.S. banks and cryptocurrency exchanges, on behalf of sanctioned Russian entities.
-
News BriefSEC Chair Atkins signals end to ‘regulation by enforcement’ in line with Trump’s pro-crypto agenda
The Securities and Exchange Commission Chair Paul Atkins explained his agency’s shift on cryptocurrency regulation to a Senate committee as legislators bargain over President Donald Trump’s “One Big Beautiful Bill” and the GENIUS Act, which would have the federal government invest heavily in cryptocurrency.
-
ArticleU.K. reins in crypto firms to combat ‘scandal’ of freewheeling finfluencers
Up to 25,000 people a year in the U.K. are illegally promoting financial products or offering financial advice on social media, but none have yet appeared in court, according to the first Treasury Select Committee meeting on the subject of so-called “finfluencers.” Regulated financial services firms must comply with strict ...