New York AG Letitia James has secured $6 million from three nursing homes in the Buffalo region, including Safire Rehabilitation of Northtowns, Safire Rehabilitation of Southtowns, and Williamsville Suburban Nursing Home (the Safire homes). The settlement agreement alleges that the nursing homes submitted tens of thousands of fraudulent claims to Medicaid to boost their revenue.…

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New York AG Letitia James has joined a bipartisan coalition of 36 AGs, and the United States Department of Justice (DOJ) has secured a $36.5 million settlement from CVS Pharmacy Inc (CVS) for fraudulently overbilling Medicaid for insulin prescriptions. The lawsuit claims that CVS knowingly dispensed more insulin to customers than they needed while maintaining…

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Massachusetts AG Andrea Joy Campbell sued UnitedHealthcare Insurance Company, d/b/a UnitedHealthcare Community Plans of Massachusetts, asserting Massachusetts False Claims Act, unjust enrichment, and breach of contract claims over allegations that the insurer inflated health-status assessments for seniors enrolled in its MassHealth Senior Care Options plan. According to the complaint, UnitedHealthcare improperly moved members into higher-paying…

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North Carolina AG Jeff Jackson announced a settlement with Bethany Medical Center, P.A. and its founder (“Bethany”) to resolve allegations that Bethany knowingly billed for medically unnecessary services in violation of the North Carolina and Federal False Claims Acts. The AG’s press release alleges that Bethany and its leadership enforced a practice to order monthly…

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Texas AG Ken Paxon announced a settlement with Molina Healthcare of Texas, Inc. and Molina Healthcare, Inc. (collectively, “Molina”), to resolve allegations of Medicaid fraud. The AG’s office claims Molina violated the Texas Health Care Program Fraud Prevention Act (THFPA) by failing to timely assess Medicaid beneficiaries for required services and concealing its non-compliance from…

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