Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Department of Justice

DoJ Charges 412 in Medicare Fraud Schemes Totaling $1.3B

July 21, 2017 - The Department of Justice (DoJ) announced the largest ever healthcare enforcement action in the history of the federal agency took place when the Medicare Fraud Strike Force (MFSF) charged 412 defendants for Medicare fraud losses totaling $1.3 billion. MFSF collaborated with the United States Attorney’s Office, FBI, HHS, and OIG on the investigation and enforcement. Consisting of healthcare...

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DOJ Sues UnitedHealth over Alleged $1B Medicare Fraud

by Jesse Migneault

The Department of Justice is suing UnitedHealth  for alleged Medicare Advantage fraud in a civil case.  The complaint, filed in the Western District court, is “for monies unlawfully obtained or retained from the insurers Medicare...

Anthem Pursues Cigna Merger Up to the Supreme Court

by Jesse Migneault

Just seven days after a court upheld the initial ruling which blocked Anthem’s acquisition of Cigna, the nation’s second largest insurer is not giving up.   Anthem has confirmed that it is filing a writ of certiorari with...

Will Divestitures Preserve the Health Insurance Mergers?

by Vera Gruessner

As previously reported, the insurance companies Aetna and Humana are attempting to preserve their health insurance merger by divesting millions of dollars in assets in order to satisfy the concerns of the Department of Justice. David Balto, an...


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