October 01, 2018
Health care giant DaVita Inc. will pay $270 million to resolve allegations that one of its divisions defrauded Medicare Advantage through deliberate ignorance of unsubstantiated diagnoses and manipulation of billing codes, the U.S. Department of Justice said Monday.
October 13, 2017
The U.S. Department of Justice has dropped a closely watched False Claims Act suit accusing UnitedHealth Group Inc. of defrauding Medicare Advantage, apparently bowing to a California federal judge's recent evisceration of the case.
October 05, 2017
A California federal judge late Thursday axed a False Claims Act suit accusing UnitedHealth Group Inc. of ignoring questionable diagnoses to boost its Medicare Advantage profits, dealing a blow to an important test case brought by the U.S. Department of Justice.
May 02, 2017
The U.S. Department of Justice on Monday hit UnitedHealth Group Inc. with the government's first-ever False Claims Act complaint in a whistleblower-led suit alleging Medicare Advantage fraud, kicking off a key test for a new realm of FCA litigation.
August 31, 2015
A California federal judge on Friday dismissed a whistleblower's False Claims Act suit accusing Scan Health Plan of overcharging Medicare and Medi-Cal after finding the complaint mirrored that of a state audit report.
August 24, 2015
California's top prosecutor on Friday sought to kill a fraud suit over Medicare and Medi-Cal overpayments at Scan Health Plan, denying the would-be whistleblower a cut of a $322 million settlement, saying that he shouldn't be allowed to amend his claims because they mirrored a state audit report.
June 02, 2015
A California federal judge ruled on Monday that a state audit report on duplicative payments from Medicare and Medi-Cal qualifies as a public disclosure of the fraud alleged by a whistleblower against Scan Health Plan, and denied him access to the $322 million the company paid to settle False Claims Act allegations.
March 06, 2015
The federal government on Friday fought a whistleblower's attempt to claim part of a $322 million settlement from Scan Health Plan in a Medicare and Medicaid fraud case, telling a California federal court that an earlier report precludes him from collecting damages.
February 02, 2015
A whistleblower alleging Scan Health Plan defrauded Medicare and California's Medicaid program told a California federal judge on Friday he should not be denied a relator's share of Scan's $322 million settlement under the False Claims Act's public disclosure bar, asking the judge to grant his motion for partial summary judgment against the U.S. and California.
July 31, 2013
Aetna Inc., UnitedHealth Group Inc., WellPoint Inc. and other health care providers escaped a False Claims Act lawsuit Tuesday when a California federal judge ruled that the whistleblower's allegations that the companies received inflated Medicare payments were overly vague.