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New Jersey med school agrees to $8.3 million kickback settlement with DoJ

In yet another chapter of a history dogged by questions of corruption, the University of Medicine and Dentistry of New Jersey (UMDNJ) has agreed to pay the federal government $8.3 million to settle... Read more...

NY hospitals implicated in Medicaid fraud

We've been hearing plenty about Medicare and Medicaid fraud in Southern California and South Florida lately; in fact, CMS even cut loose a number of medical device companies in those areas and... Read more...

Justice Department recovers $1.12 billion from fraud

Every year the Justice Department tries to recover as much as it can from healthcare organizations that have allegedly defrauded them: this year the total it recovered was $1.12 billion dollars. This... Read more...

Amerigroup settles Medicaid charges

Health plan Amerigroup Corp. has settled charges that it avoided enrolling pregnant women and sick members for a hefty $225 million. The health plan had allegedly excluded those groups when running a... Read more...

States aren't reporting Medicaid provider sanctions

A new report from the HHS inspector general's office suggests that states are routinely failing to report when they sanction health providers participating in the Medicaid program. When providers are... Read more...

Amerigroup to pay $225M in Medicaid fraud settlement

Amerigroup, the Illinois health plan that refused to enroll high-risk patients in its Medicaid plan, announced that it will pay $225 million to the state of Illinois and the U.S. government to settle... Read more...

Amerigroup may settle Medicaid fraud charges soon

An Illinois health plan which refused to enroll high-risk patients in its Medicaid plan may soon be settling a lawsuit brought by state and federal authorities, for a whopping $334 million.... Read more...

Department of Justice faces 500-case healthcare whistle-blower backlog

In theory, having scores of whistle-blowers file cases identifying cases of potential fraud is a good thing. However, a recent surge in such cases has so overwhelmed staff at the federal Department... Read more...

AstraZeneca asks judge to nullify $215M drug-price lawsuit

Drugmaker AstraZeneca has asked an Alabama judge to nullify a jury verdict that ordered it to pay the state $215 million in damages in a Medicaid drug-price fraud suit. The state's 2005 suit accused... Read more...

Doctor sues CA hospital, claiming retaliation for state report

An obstetrician and gynecologist has sued a California hospital, claiming his former bosses there are giving him bad recommendations in retaliation for his filing a complaint about conditions there.... Read more...