One of the Nation’s Leading Providers of Home Healthcare Services to Pay Approximately $150m After False Billing Revealed As Common Practice

Maxim Healthcare Services Inc., one of the nation’s leading providers of home healthcare services, has entered into a settlement to resolve criminal and civil charges relating to a nationwide scheme to defraud Medicaid programs and the Veterans Affairs...

Medicaid Increases Use of Health Care, Decreases Financial Strain, Improves Health

Researchers from Harvard School of Public Health (HSPH), Massachusetts Institute of Technology (MIT), the National Bureau of Economic Research (NBER), and Providence Health & Services have found that expanding low income adults’ access to Medicaid...

North Carolina Woman Pleads Guilty to Health Care Fraud, Other Charges

Sarah Lavonne Willis, of Charlotte, North Carolina, pled guilty to health care fraud, money laundering, and failure to file tax returns in connection with a scheme in which she falsely billed Medicaid for behavioral therapy services which she did not...

Louisiana Woman Convicted of Using Her Children in Medicare Fraud Scheme

Jo Ann Girod, of Marrero, Louisiana, was convicted in connection with a scheme run by a Medicare provider in Harvey, Louisiana, that solicited mothers with children who had Medicaid benefits to fraudulently apply for personal care services. Based upon...

$13 Million Settlement in Medicare Fraud-Related False Claims Act Case

APS Healthcare Midwest has agreed to a $13 million settlement with the U.S. and the state of Georgia for allegedly submitting false claims to Medicaid because it did not provide specialty services related to disease management and case management to members...

Oklahoma Man Charged in $5.5 Million Health Care Fraud Scheme

Lance E. Faulkner, of Tecumseh, Oklahoma, who owned and operated a durable medical equipment company, was indicted for health care fraud in connection with sales of prosthetic limbs and components. Faulkner allegedly fraudulently obtained more than $5.5...

Georgia Hospital Executive Convicted of Medicaid Fraud

Ken B. Beverly, the former the CEO and president of Archbold Medical Center and Archbold Memorial Hospital in Thomasville, Georgia, was convicted of six felony offenses related to Medicaid fraud and obstruction of justice. Full Story Available at:Georgia...

Pharmaceutical Manufacturers to Pay $421.2m to Settle False Claims Act Cases

Abbott Laboratories Inc., B. Braun Medical Inc. and Roxane Laboratories Inc. n/k/a Boehringer Ingelheim Roxane Inc. and affiliated entities have agreed to pay $421 million to settle False Claims Act allegations, the Justice Department has announced. These...

Center for Medicare And Medicaid Innovation Must Implement Payment Reforms Rapidly

The new Center for Medicare and Medicaid Innovation (CMI) must be inclusive and flexible in developing and implementing payment initiatives, continuously monitor their impact, and rapidly disseminate them if they appear to be successful, in order to realize...