Health Benefits Fraud Lawsuit

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FTC Action Against Benefytt Results in $100 Million in Refunds for

(9 days ago) Web“Benefytt pocketed millions selling sham insurance to seniors and other consumers looking for health coverage,” said Samuel Levine, Director of the FTC’s Bureau of Consumer Protection. “The company is being ordered to pay $100 million, and we’re …

https://www.ftc.gov/news-events/news/press-releases/2022/08/ftc-action-against-benefytt-results-100-million-refunds-consumers-tricked-sham-health-plans-charged

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FTC Sends Nearly $100 Million in Refunds to Consumers Harmed …

(3 days ago) WebAccording to the FTC’s August 2022 complaint, Benefytt and its third-party partners operated a series of deceptive websites that targeted consumers who were …

https://www.ftc.gov/news-events/news/press-releases/2024/03/ftc-sends-nearly-100-million-refunds-consumers-harmed-benefytt-technologies-sham-health-plans

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FTC Sends Nearly $7 Million in Refunds to Consumers Harmed by …

(6 days ago) WebCHBA telemarketers allegedly pitched consumers with a long list of false claims about the benefits of the discount plans, including that the plans were as widely …

https://www.ftc.gov/news-events/news/press-releases/2023/11/ftc-sends-nearly-7-million-refunds-consumers-harmed-medical-discount-plans-sold-health-insurance

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FTC to send nearly $100 million in refunds to customers of …

(8 days ago) WebThe FTC is sending checks to 463,629 customers who paid Benefytt $1,000 or more between 2017 and 2022, the agency announced on Tuesday. The total amount …

https://www.cbsnews.com/news/ftc-refunds-benefytt-fake-health-plans/

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FTC To Refund Consumers Who Bought Fake Health Plans From …

(Just Now) WebThe refunds total nearly $100 million and seek to help consumers who fell for fake health plans offered by Benefytt Technologies under various names. Also in the …

https://kffhealthnews.org/morning-breakout/ftc-to-refund-consumers-who-bought-fake-health-plans-from-benefytt/

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WebThe New York Times. But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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A New Medicare Advantage Fraud Case Is Taking Aim At Data …

(Just Now) WebThe civil complaint of fraud, filed this week, is the first by the federal government to target a data mining company for allegedly helping a Medicare Advantage …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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Justice Department Charges Dozens for $1.2 Billion in Health Care …

(3 days ago) WebPrior to the charges announced as part of today’s nationwide enforcement action and since its inception in March 2007, the Health Care Fraud Strike Force, which …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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Health Care Fraud — FBI

(8 days ago) WebHealth care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive unlawful benefits or payments. The FBI is the primary

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

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Laws Against Health Care Fraud Fact Sheet - Centers for …

(5 days ago) WebThe Health Care Fraud Statute makes it a criminal offense to knowingly and willfully execute a scheme to defraud a health care benefit program. Health care fraud is …

https://www.cms.gov/files/document/overviewfwalawsagainstfactsheet072616pdf

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Health care fraud: DOJ recovers $1.8B in false claims cases in 2023

(5 days ago) WebThe health-care industry led the way as a record 543 False Claims Act settlements and judgments were reported in fiscal year 2023. More than $1.8 billion of …

https://www.benefitspro.com/2024/03/01/health-care-fraud-doj-recovers-1-8b-in-false-claims-cases-in-2023/

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Apria Healthcare Reaches $40M Settlement Over False Claims …

(2 days ago) WebOn January 20, 2021, Florida Attorney General Ashley Moody announced a $40 million settlement between the state’s Medicaid Fraud Control Unit (MFCU), the …

https://thenationaltriallawyers.org/article/apria-healthcare-reaches-a-40m-settlement-with-multiple-states-over-various-false-claims-statutes/

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Maxim Healthcare Services Charged with Fraud, Agrees to Pay

(1 days ago) Web“Health care fraud is a considerable problem in New Jersey with residents being victimized by an estimated $7.5 billion in care-related frauds in 2010,” said FBI …

https://www.justice.gov/opa/pr/maxim-healthcare-services-charged-fraud-agrees-pay-approximately-150-million-enact-reforms

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UnitedHealth Faces Antitrust Probe by US Justice Department (2)

(6 days ago) WebUnitedHealth Group Inc. The US Department of Justice has initiated an antitrust investigation into UnitedHealth Group Inc., people familiar with the matter said Tuesday. The probe opens a new layer of scrutiny on the largest US health insurer that operates in pharmacy benefits, medical care, technology and other services.

https://news.bloomberglaw.com/health-law-and-business/unitedhealth-faces-justice-department-antitrust-probe-wsj-says

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Health care giant confirms $15M settlement - Ohio Capital Journal

(Just Now) WebOhio Attorney General Dave Yost on Wednesday announced that pharmacy benefit manager OptumRx had agreed to pay $15 million to settle a 2019 lawsuit …

https://ohiocapitaljournal.com/2022/10/31/health-care-giant-confirms-15m-settlement-two-days-after-denying-it/

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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WebFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department …

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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UnitedHealth sued over use of algorithm in Medicare Advantage …

(9 days ago) Webadvertisement. The lawsuit, filed in the U.S. District Court of Minnesota, accuses UnitedHealth and its subsidiary, NaviHealth, of using the computer algorithm to …

https://www.statnews.com/2023/11/14/unitedhealth-class-action-lawsuit-algorithm-medicare-advantage/

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Lawsuit alleges ACA plan-switching scheme - Health News Florida

(Just Now) WebA wide-ranging lawsuit filed this past week outlines a moneymaking scheme with Broward County ties by which large insurance sales agency call centers enrolled …

https://health.wusf.usf.edu/health-news-florida/2024-04-17/lawsuit-alleges-aca-plan-switching-scheme-targeted-low-income-consumers

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Glen 'Big Baby' Davis sentenced to 40 months in prison over fraud

(4 days ago) WebESPN. Glen "Big Baby" Davis was sentenced by a federal judge to 40 months in prison for his conviction in an alleged scheme to defraud the NBA's health care …

https://www.espn.com/nba/story/_/id/40113791/glen-big-baby-davis-sentenced-40-months-prison-fraud-scheme

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Cleveland Clinic to pay $7.6M to settle grant fraud lawsuit

(2 days ago) WebPotential fraud, waste, abuse or mismanagement of HHS programs can be reported to the Inspector General’s Office online or by calling its hotline at 1-800-447-8477. Close Modal Suggest a Correction

https://fox8.com/news/cleveland-clinic-to-pay-7-6m-to-settle-fraud-case/

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Justice Dept. Sues to Block $13 Billion Deal by UnitedHealth Group

(3 days ago) WebFeb. 24, 2022. WASHINGTON — The Justice Department on Thursday sued to block a $13 billion acquisition of a health technology company by a subsidiary of UnitedHealth …

https://www.nytimes.com/2022/02/24/business/doj-antitrust-lawsuit-unitedhealth.html

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FTC loses landmark antitrust lawsuit against private equity in …

(4 days ago) WebRequest academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo …

https://www.benefitspro.com/2024/05/16/judge-dismisses-minority-investor-from-ftcs-antitrust-case-against-medical-practice-412-167885/

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Consumer Health Benefits Association Refunds - Federal Trade …

(4 days ago) WebAccording to the lawsuit, the company used a long list of false claims about its plans, including that the plans were widely accepted and would provide the same cost …

https://www.ftc.gov/enforcement/refunds/consumer-health-benefits-association-refunds

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Legal battle over health costs could change workplace benefits

(Just Now) WebAn emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers.. …

https://www.axios.com/2024/05/13/health-care-costs-employers-insurance

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SCOTUS declines to hear lawsuit over Country Mutual Insurance …

(9 days ago) WebPlaintiffs Angela M. Sudholt, Kyhl A. Sudholt, Kara Jones, and Benjamin Jones filed a class-action lawsuit in 2022 in the St. Clair County Circuit Court against the …

https://insurancenewsnet.com/innarticle/scotus-declines-to-hear-lawsuit-over-country-mutual-insurance-profits

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Benefits cheat jailed for £33,000 false disability claims

(2 days ago) WebA benefits cheat who was filmed going shopping despite claiming she was "too disabled to move" has been jailed. Ann Hooper, 49, fraudulently claimed £33,000 in …

https://www.bbc.co.uk/news/uk-england-devon-58442067

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Southern District of New York U.S. Attorney Announces $2.5 …

(8 days ago) WebDamian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York Regional …

https://www.justice.gov/usao-sdny/pr/us-attorney-announces-25-million-false-claims-act-settlement-diagnostic-testing-0

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Arizona's $2 billion Medicaid fraud was first announced one year ago

(8 days ago) WebArizona Republic. 0:04. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was …

https://www.azcentral.com/story/news/local/arizona-health/2024/05/16/arizonas-2-billion-medicaid-fraud-was-first-announced-one-year-ago/73706945007/

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UnitedHealth faces securities fraud lawsuit over undisclosed …

(3 days ago) WebUnitedHealth Group Inc. is facing a proposed securities fraud class-action lawsuit alleging the company failed to disclose a Justice Department antitrust …

https://www.businessinsurance.com/article/20240517/STORY/912364546/UnitedHealth-faces-securities-fraud-lawsuit-over-undisclosed-antitrust-probe

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Attorney General Drummond sues pharmaceutical manufacturers, …

(9 days ago) WebOKLAHOMA CITY (May 14, 2024) – Attorney General Gentner Drummond has filed a lawsuit against major diabetic drug manufacturers and pharmacy benefit …

https://www.oag.ok.gov/articles/attorney-general-drummond-sues-pharmaceutical-manufacturers-pbms-insulin-pricing-scheme

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Arizona facing third wrongful death lawsuit related to Medicaid …

(1 days ago) WebThe lawsuit, filed by Russell's parents, is the third known wrongful death suit to be filed against the state this year connected with massive Medicaid fraud schemes …

https://www.azcentral.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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‘Significant Backlog of Inspectors’: Alleged Failure To Investigate

(9 days ago) WebThe lawsuit, representing five anonymous residents with mobility impairments and complex health needs, claims MDH’s inaction disproportionately harms …

https://skillednursingnews.com/2024/05/significant-backlog-of-inspectors-alleged-failure-to-investigate-nursing-home-complaints-behind-state-lawsuit/

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FTC Obtains $195 Million Judgment, Permanent Ban on …

(6 days ago) WebThe Federal Trade Commission has obtained a $195 million judgment against Simple Health Plans LLC and its CEO Steven J. Dorfman over charges they duped …

https://www.ftc.gov/news-events/news/press-releases/2024/02/ftc-obtains-195-million-judgment-permanent-ban-telemarketing-selling-healthcare-products-against

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Apple touts stopping $1.8B in App Store fraud last year in latest …

(4 days ago) WebA Texas-based company that provides health insurance and benefit plans disclosed a data breach affecting almost 2.5 million people, some of whom had their …

https://techcrunch.com/2024/05/14/apple-touts-stopping-1-8bn-in-app-store-fraud-last-year-in-latest-pitch-to-devs/

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Triumph Group Hit With Fraud Lawsuit Over Qarbon Aerospace Deal

(7 days ago) WebA Qarbon Aerospace Inc. affiliate sued Triumph Group Inc. for fraud, saying the aerospace manufacturer cooked the books before selling one of its divisions in 2021 …

https://news.bloomberglaw.com/esg/triumph-group-hit-with-fraud-lawsuit-over-qarbon-aerospace-deal

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