Compliance & Legal
Feds say Prestige Healthcare failed to ensure that physician orders were obtained for genetic tests prior to being conducted.
Insurer says CMS violated the law's requirement that Medicare Advantage insurers be subject to the same actuarial standards as Medicare.
Office of Inspector General for the VA concluded overcharges had occurred going back to 2002, DOJ said.
Complaint alleged merger would 'lead to significant anticompetitive effects' in New Jersey, Dallas-area markets where the two companies compete.
Net operating revenues for the three months ending Dec. 31, 2016 totaled $515.2 million, compared to $558.2 million during the same period on 2015.
Original Swoben case has combined with whistleblower action filed in 2011 by former UnitedHealth executive Benjamin Poehling, unsealed in March.
Noble U. Ezukanma was convicted on one count conspiracy and six counts healthcare fraud; each carries 10-year maximum prison sentence.
Pharmacy operators paid kickbacks to doctors for prescribing, refilling pricey compound pain medications, Department of Justice says.
Supreme Court justices said Appellate Court lacked jurisdiction, sent case back to lower court for reconsideration, didn't rule on constitutionality.
The bipartisan bill would ensure that federal antitrust laws apply to health insurance companies.