Category: Legal & Regulatory Issues

A Kansas man has pleaded guilty to operating a fraud scheme that billed Medicare and other health insurers more than $1 billion through an online platform for durable medical equipment and fake physician orders.

The U.S. Department of Justice is investigating billing practices at UnitedHealth Group following reports that the company inflated charges to maximize Medicare Advantage reimbursements, The Wall Street Journal reported in an exclusive.

President Donald Trump has issued an executive order focused on limiting public benefits for undocumented immigrants.

President Donald Trump’s nominee for CMS administrator, Mehmet Oz, MD, has pledged to divest from multiple healthcare companies if confirmed to lead the agency. 

The Trump administration intends to defend the Affordable Care Act’s requirement that insurers cover certain preventive services at no cost to patients. 

From UnitedHealth Group reaching a $20.25 million settlement with the U.S. Department of Labor to the former CEO of MetroHealth filing a lawsuit against the health system for alleged discrimination, here are 10 healthcare industry lawsuits, settlements…

U.S. District Judge Tanya Chutkan has denied a request from 14 Democratic state attorneys general to immediately enforce broad restrictions against the Elon Musk-led Department of Government Efficiency, The Hill reported Feb. 18.

Two emergency department staff members were injured in a stabbing incident at Provident Hospital in Chicago on Feb. 17, police and hospital officials confirmed to Becker’s.

From an Arizona couple pleading guilty to a $1.2 billion scheme to the sentencing of a “serial healthcare fraudster,” here are 10 healthcare billing fraud cases Becker’s has reported on since Jan. 22: 

A federal judge on Feb. 13 issued a temporary restraining order to block President Donald Trump’s executive order restricting access to gender-affirming care to individuals under the age of 19.