Menu

News & Insights

  • Clear

Private Equity Firm to Pay Almost $20 Million to Settle Allegations of Medicaid Fraud

Massachusetts AG Maura Healey reached a settlement with private equity firms H.I.G. Growth Partners, LLC and H.I.G. Capital, LLC (collectively “HIG”), and two former executives of a mental health facility operator, South Bay Mental Health Center, Inc. (“SBMHC”), to resolve allegations that they caused fraudulent claims to be submitted to the state’s Medicaid program, known…

Read More

Fertility Clinic Allegedly Failed to Safeguard Personal Health Information of 15,000 Patients

New Jersey Acting AG Andrew Bruck reached a settlement with healthcare provider Diamond Institute for Infertility and Menopause, LLC (“Diamond”) to resolve allegations stemming from a 2016 data breach that compromised the personal health information of nearly 15,000 patients in violation of the New Jersey Consumer Fraud Act, the New Jersey Identity Theft Prevention Act,…

Read More

Pharmacy Benefit Manager Agrees to Pay $15.2 Million to Settle Allegations of Arkansas Medicaid Overbilling

Arkansas AG Leslie Rutledge reached a settlement with Pharmacy Benefit Manager (“PBM”) Envolve Pharmacy Solutions (“Envolve”), its parent company Centene Corporation, and other Centene subsidiaries (collectively “Centene”) to resolve allegations that Centene used its subsidiaries to overcharge the state for medications in its Medicaid program.

Read More

FTC Clarifies that Health Apps Have a Duty to Report Data Security Breaches

The Federal Trade Commission (“FTC”) issued a policy statement clarifying that health apps that collect or use consumers’ health information are subject to the Health Breach Notification Rule’s notification requirements when the consumer data they collect is subject to unauthorized access. The FTC’s policy statement notes that the American Recovery and Reinvestment Act of 2009 directed…

Read More

Psychotherapy Services Provider Nabbed for False Claims Submitted to Medicaid and Medicare

Georgia AG Chris Carr and the U.S. Department of Justice reached a settlement with psychotherapy services provider Carenow Services, LLC and its chief operating officer (collectively “Carenow”) to resolve allegations that Carenow improperly billed Medicaid and Medicare for psychotherapy services in violation of the federal False Claims Act and the Georgia Taxpayer Protection False Claims Act.

Read More