Tag

False Claims Act

All articles tagged with #false claims act

law-and-policy10 days ago•2 min saved

DOJ Reaches Landmark Settlement With Texas Children's Hospital Over Pediatric Gender-Affirming Care

The Justice Department announced the first resolution in its national probe into alleged federal-law violations tied to pediatric gender-affirming procedures, with Texas Children’s Hospital agreeing to stop such procedures for minors, pay $10 million in damages and penalties, and fund a detransitioner care clinic; the settlement also involves alleged false billing, the hospital cooperated, and there has been no admission of liability as the investigation continues.

via Department of Justice (.gov)|

#detransitioner #false-claims-act #gender-affirming-care

business1 month ago•5 min saved

IBM pays $17M to settle DEI-related False Claims Act case under Trump-era initiative

IBM agreed to pay $17,077,043 to resolve DOJ allegations that its DEI policies violated federal anti-discrimination requirements in government contracts, with claims it certified compliance while using race/sex-based targets and altering interview criteria; IBM denies the conduct and says it ended the programs, and the settlement marks the first under the Trump administration’s Civil Rights Fraud Initiative.

via Ars Technica|

#business #civil-rights-fraud-initiative #dei

business1 month ago•304 min saved

IBM Resolves Federal DEI Claims with $17 Million Settlement

IBM agreed to pay roughly $17 million to settle U.S. government allegations that its diversity, equity and inclusion hiring practices in federal contracts were falsely claimed; IBM denies wrongdoing, saying its workforce strategy is about having the right people with the right skills, and the settlement is not an admission of liability amid a broader crackdown on DEI initiatives.

via CNN|

#business #dei #doj

law1 month ago•3 min saved

IBM to pay $17M to settle discrimination claims tied to federal contracts

IBM will pay 17,077,043 to settle False Claims Act allegations that its federal contracts included discriminatory DEI practices, such as a diversity bonus modifier, diverse interview slates, race and sex demographic goals, and restricted training opportunities; the government says these actions violated anti-discrimination provisions, though IBM cooperated and implemented remedial measures; this settlement is the first resolution under the Civil Rights Fraud Initiative.

via Department of Justice (.gov)|

#dei #discrimination #false-claims-act

business1 month ago•304 min saved

IBM pays $17 million to resolve DEI-contracting claims

IBM has agreed to pay about $17 million to settle U.S. DOJ allegations that its diversity, equity and inclusion practices in federal contracting involved false claims about hiring and promotion practices. IBM denies discriminatory conduct, and the settlement is described as not an admission of liability. The case fits a broader post‑Trump crackdown on DEI initiatives in government contracting under the False Claims Act.

via CNN|

#business #dei #false-claims-act

politics1 month ago•3 min saved

Trump Signs Executive Order Ending DEI Practices in Federal Contracting

President Trump signed an executive order prohibiting racially discriminatory DEI practices by federal contractors and their subcontractors, requiring a DEI-discrimination clause in contracts under the Federal Property and Administrative Services Act, directing the OMB to issue compliance guidance and identify risky sectors, and allowing contract termination, suspension, or debarment for noncompliance. The order also directs the Attorney General to pursue False Claims Act actions and to align Federal Acquisition Regulations to enforce the ban, framing DEI as costly and counter to merit-based, efficient government contracting; it forms part of a broader effort to end DEI across the federal government.

via The White House (.gov)|

#dei #executive-order #false-claims-act

healthcare2 months ago•4 min saved

Aetna Pays $117.7 Million to Resolve Medicare Advantage Coding Allegations

Aetna will pay $117.7 million to settle False Claims Act allegations that it submitted or failed to withdraw inaccurate diagnosis codes to inflate Medicare Advantage payments, including morbid obesity codes for 2018–2023, and related issues from a 2015 chart-review program; a whistleblower, a former Aetna risk-adjustment coder, will receive about $2.01 million. The case was pursued by the DOJ Civil Division, Fraud Section, and HHS-OIG with the U.S. Attorney’s Office for the Eastern District of Pennsylvania.

via Department of Justice (.gov)|

#aetna #false-claims-act #healthcare

business9 months ago•2 min saved

CVS Ordered to Pay Nearly $290M in Whistleblower Lawsuit

A federal judge ordered CVS Health's pharmacy benefit manager unit to pay nearly $290 million in damages and penalties for overcharging Medicare for prescription drugs, citing fraudulent billing practices motivated by financial gain. CVS plans to appeal the decision, which stems from allegations that CVS Caremark inflated claims submitted to Medicare since 2010, damaging public trust and violating the False Claims Act.

via Reuters|

#business #cvs #false-claims-act

legalhealthcare2 years ago•3 min saved

"DOJ Alleges Fraudulent Price Reporting by Regeneron Pharmaceuticals for Eylea Drug"

The United States has filed a complaint against Regeneron Pharmaceuticals, alleging that the company fraudulently manipulated Medicare reimbursement for its drug, Eylea, by knowingly submitting false average sales price (ASP) reports to Medicare. The complaint alleges that Regeneron inflated Eylea’s ASP by paying credit card processing fees for the benefit of physician-customers purchasing Eylea, without properly reporting these payments as price concessions to ASP, resulting in hundreds of millions of dollars in inflated reimbursements by Medicare. The government's investigation was prompted by False Claims Act allegations brought in a whistleblower lawsuit, and if found liable, Regeneron could face significant financial penalties.

via Department of Justice|

#eylea #false-claims-act #legalhealthcare

government2 years ago•6 min saved

"Federal Investigation and Urgent Calls for Action: Washington Bridge Shutdown Unveiled"

The U.S. Department of Justice has issued a demand letter to the McKee Administration regarding the Washington Bridge failure, indicating an investigation under the False Claims Act. The letter, led by the Rhode Island District of the DOJ, focuses on the actions of the Rhode Island Department of Transportation and its contractors, including Barletta Heavy Division. The lead prosecutor, Bethany Wong, is seeking information dating back to 2015, and the investigation will encompass multiple companies involved in the Washington Bridge project over nearly a decade. The demand letter sets a deadline for the delivery of responsive documents and specifically targets documentation related to piers 6 and 7 of the bridge.

via GoLocalProv|

#false-claims-act #government #investigation

healthcare2 years ago•5 min saved

Community Health Network Settles False Claims Act Violations for $345 Million

Community Health Network, an Indianapolis-based healthcare network, has agreed to pay $345 million to settle allegations that it violated the False Claims Act by knowingly submitting Medicare claims for services referred in violation of the Stark Law. The network allegedly engaged in a scheme to pay improper compensation to physicians to illegally refer patients to its hospitals and associated medical facilities. The network overcompensated its cardiologists, surgeons, and other physicians, sometimes paying double what they received through private practice. The settlement includes a five-year Corporate Integrity Agreement, and the network denies any wrongdoing.

via FOX 59 Indianapolis|

#community-health-network #false-claims-act #healthcare

healthcare2 years ago•2 min saved

Cigna Settles Overcharging Allegations with $172 Million Payment

Health insurance company Cigna has agreed to pay over $172 million to settle allegations that it knowingly submitted false diagnosis codes for Medicare Advantage plans between 2016 and 2021. The U.S. Department of Justice accused Cigna of violating the False Claims Act by not removing incorrect codes, resulting in increased payments. Cigna will also enter a corporate-integrity agreement for five years. This settlement comes as Cigna faces a separate class-action lawsuit regarding the use of an algorithm to deny medical claims and reduce labor costs.

via CBS News|

#cigna #false-claims-act #healthcare

business2 years ago•2 min saved

Boeing Settles False Claims Act Allegations for $8.1 Million

The Boeing Company has agreed to pay $8.1 million to settle allegations that it violated the False Claims Act by submitting false claims and making false statements in connection with contracts to manufacture the V-22 Osprey for the U.S. Navy. The allegations state that Boeing failed to comply with contractual manufacturing specifications from 2007 to 2018, specifically regarding testing requirements for composite components. The settlement includes claims brought by former employees under the whistleblower provisions of the False Claims Act, with the relators receiving $1.5 million.

via Department of Justice|

#boeing #business #false-claims-act

politics2 years ago•2 min saved

Texas Files Lawsuit Seeking Millions in Medicaid Reimbursements from Planned Parenthood

Texas has filed a lawsuit against Planned Parenthood, seeking the return of millions of dollars in Medicaid reimbursements and additional fines, in what appears to be the first such case brought by a state against the largest abortion provider in the U.S. The lawsuit does not revolve around abortion, as it has been banned in Texas since the Supreme Court overturned Roe v. Wade last year. Planned Parenthood argues that the attempt to recoup funds is an effort to weaken the organization after years of Republican-led laws that stripped funding and imposed restrictions. The case is being heard by U.S. District Judge Matthew Kacsmaryk, who previously invalidated the approval of the abortion pill mifepristone. Planned Parenthood warns that the fines could exceed $1 billion.

via PBS NewsHour|

#false-claims-act #lawsuit #medicaid

healthcare2 years ago•3 min saved

Martin's Point Health Care Settles $22 Million Medicare Fraud Claims

Martin's Point Health Care has agreed to pay over $22 million to settle allegations of Medicare fraud. The company was accused of abusing the Medicare Advantage program by assigning additional diagnoses to patients in order to receive higher reimbursements. A former manager at Martin's Point filed a whistleblower complaint in 2018, alleging violations of the False Claims Act. The settlement agreement states that the company knowingly submitted unsupported and invalid diagnostic codes, resulting in payments to which it was not entitled. Martin's Point denies liability but decided to settle to avoid the costs and uncertainty of litigation. The settlement does not release the company from the possibility of criminal charges.

via Press Herald|

#false-claims-act #healthcare #martins-point-health-care