Sep 25, 2024 | Health Care
Doctors at the Center for Restorative Breast Surgery (“Breast Center”) and St. Charles Surgical Hospital (“Hospital”) in New Orleans, sued Blue Cross Blue Sheild, claiming the insurer tried to coerce the doctors into their network. The Breast Center and the Hospital...
Sep 15, 2024 | DOJ, False Claims Act, Fraud Investigations, Health Care, Medicare and Medicaid
Late last week, the Department of Justice announced that Walgreen had agreed to pay over $106 million to resolve allegations that it violated the False Claims Act by billing government health care programs for prescriptions that were never dispensed. According to the...
Sep 9, 2024 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
Late last month, the DOJ announced that St. Peter’s Health agreed to pay $10.8M to settle False Claims Act allegations. The settlement resolves claims that the organization submitted inaccurate information to federal healthcare programs, including Medicare and...
Aug 30, 2024 | Health Care
On August 27, 2024, the Department of Justice announced that John W. Kosolcharoen, founder and CEO of a California-based company, pleaded guilty to a felony violation of the Federal Food, Drug, and Cosmetic Act. Kosolcharoen’s plea relates to the distribution of...
Aug 18, 2024 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On August 16, 2024, the plaintiff’s law firm Phillips & Cohen announced that health insurance giant Humana agreed to pay $90 Million to settle a qui tam whistleblower lawsuit filed under the federal False Claims Act (FCA). According to the law firm’s...
Aug 13, 2024 | Health Care
On August 7, the Department of Justice (DOJ) announced the conviction of Eric Moesle, in Pataskala, Ohio. Mosele, an office manager for Elemental Dental, pleaded guilty to charges related to failing to pay over $750,000 in employment taxes and not filing the necessary...
