A bipartisan coalition of eight AGs and the federal government settled with Phillips RS North America LLC (formerly known as Respironics Inc.), a medical equipment manufacturer, to resolve allegations that the company violated the federal False Claims Act and state false claims statutes by paying kickbacks to its suppliers to submit false claims to Medicaid.…

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Physicians Group Services, P.A. (PGS) has reached a settlement with the U.S. and Florida to resolve allegations that it submitted false or fraudulent claims to the Florida Medicaid Program. The allegations arose from a coordinated investigation by the U.S. Attorney’s Office for the Middle District of Florida, the federal Department of Health and Human Services,…

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Massachusetts AG Maura Healey has reached a settlement with retail electricity supplier Utility Expense Reduction, LLC to resolve allegations that UER knowingly failed to make payments under the state’s renewable and clean energy programs, in violation of the state False Claims Act, Consumer Protection Act, and environmental statutes. Massachusetts law requires retail electricity companies to…

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Massachusetts AG Maura Healey and the DOJ reached a settlement with outpatient mental health company Pathways of Massachusetts, LLC (“Pathways”) and its former parent company Molina Healthcare, Inc. (“Molina”) to resolve allegations that Pathways submitted fraudulent claims to Massachusetts’ Medicaid program in violation of the federal and Massachusetts False Claims Acts.  The settlement further resolved…

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Massachusetts AG Maura Healey settled with home health agency Integrity Home Care Solutions, LLC, and its owners and officers (collectively, “Integrity”) to resolve alleged violations of MassHealth regulations. According to the AG’s office, Integrity allegedly failed to obtain physician authorization to confirm that services are medically necessary before submitting claims to MassHealth. Under the terms…

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