Aug 2, 2023 | False Claims Act
The DOJ just announced that Martin’s Point Health Care Inc. (Martin’s Point) has agreed to pay $22,485,000 to resolve allegations of violating the False Claims Act. Martin’s Point operates managed care insurance plans known as Medicare Advantage Plans (MA Plans) for...
Jul 24, 2023 | False Claims Act
Chilivis Grubman often reports on False Claims Act (“FCA”) enforcement actions. Many high-dollar FCA settlements involve healthcare providers and businesses, in part, due to the number of claims for reimbursement that healthcare providers submit to the government and...
Jul 19, 2023 | Cyber Law, False Claims Act, Fraud Investigations, Government Investigations
NextGen Healthcare Inc. is a prominent electronic health record (“EHR”) technology vendor that provides software solutions and services to healthcare providers across the United States. The company’s products are widely used to manage patient records, streamline...
Jul 19, 2023 | False Claims Act
On July 14, the Department of Justice announced NextGen Healthcare Inc., an electronic health record (EHR) technology vendor, reached a settlement of $31 million to resolve allegations of violating the False Claims Act (FCA). According to the government, NextGen...
Jul 6, 2023 | False Claims Act
On June 29, 2023, the U.S. Department of Justice (“DOJ”) announced that Santa Barbara San Luis Obispo Regional Health Authority, d/b/a CenCal Health (“CenCal”), a county-organized health system, and three non-profit medical providers – Cottage Health System...
Jun 26, 2023 | False Claims Act
On June 16, the Supreme Court issued a crucial decision in the case of United States el rel. Polansky v. Executive Health Resources, Inc., et al. In this landmark ruling, Justice Elena Kagan, writing for an eight to one majority, resolved a circuit split and...
