Department Of Justice

Latest Headlines

Latest Headlines

American Hospital Association takes aim at Anthem-Cigna merger

Having already spoken out against the proposed mergers in the health insurance industry, the American Hospital Association has now ratcheted up its scrutiny of one specific mega-deal in a letter to the Department of Justice.

N.J. Sen. Robert Menendez, Florida eye surgeon indicted on corruption charges

The Department of Justice  indicted Sen. Robert Menendez (D-N.J.) on 14 federal corruption charges stemming from his longtime personal and political relationship with Florida ophthalmologist Salomon Melgen, M.D.

Hospice fraud cases catching eye of federal investigators

Hospice fraud allegations keep drawing the eye of federal investigators, as evidenced by a recent conviction and the government's intervention in a False Claims Act lawsuit.

Feds pursue doc-owned distributorships for unnecessary surgery, kickbacks

In a one-two punch against alleged fraud, federal prosecutors filed a pair of False Claims Act complaints against a Michigan neurosurgeon and a network of physician-owned companies, the Department of Justice announced.

Feds reorganize to attack healthcare fraud

Stung by the extent of fraud in government healthcare programs, the Department of Justice and the Pittsburgh U.S. Attorney's office are ramping up operations to fight fraud more effectively and efficiently.

Feds crack down on therapeutic services fraud

Recent enforcement actions by the U.S. Department of Justice showcase federal efforts to put the kibosh on fraudulent claims filed with government programs for therapeutic services.

Medical equipment fraud schemes worth watching

A federal jury in Los Angeles convicted a southern California man for his role in a $1.5 million durable medical equipment (DME)-related fraud scheme, the Department of Justice announced Monday.

WellCare says it's changed since $138M fraud settlement

WellCare officials say the now competent, ethical company is submitting a contracting bid with the Fla. Medicaid program after tge Department of Justice's allegations that the insurer overcharged Medicare and Medicaid by about $46 million.

Aetna sues Michigan Blues for artificially raising market rates

Aetna is suing Blue Cross Blue Shield of Michigan for using its market dominance to implement most-favored nation clauses with hospitals that forced them to charge Aetna as much as 39 percent more

Blues plan, hospitals settle $26M antitrust claims

Blue Cross Blue Shield of Montana's plans to take over an even larger portion of the state health insurance market has been squashed by the Department of Justice (DoJ) and the attorney general's