Summary Judgment Recommended in UnitedHealth Medicare Reimbursement Case
A case involving UnitedHealth Group and allegations of improper Medicare reimbursements highlights compliance and regulatory challenges in U.S. health insurance.
Minnesota Couple Charged in $15M Insurance Fraud Case
A Minnesota couple is charged with defrauding Medicare and other insurers for over $15 million, underscoring major challenges in fraud prevention within the insurance industry.
DOJ Settles $62M Medicare Advantage Fraud Case
The DOJ settles a significant Medicare Advantage fraud case, showcasing the commitment to fight healthcare fraud and ensure compliance with billing practices.
Newburyport Man Pleads Guilty to Insurance Fraud Scheme
Christian Decristofaro pleads guilty to defrauding a home repair insurance provider in a scheme that cost the insurer over $2 million.
LICAC Sues California Department of Insurance Over Complaint Data
LICAC has filed a lawsuit against the California DOI for withholding consumer complaint data, seeking transparency in insurance regulations.
New York AG Files Complaint Against Insurance Firms for Data Breaches
New York AG Letitia James prosecutes insurance firms for data security breaches, alleging fraudulent conduct. Take a look at key highlights.
Tennessee Doctor Settles False Medicare Claims for Unnecessary Therapy
Tennessee doctor settles claims for submitting false Medicare invoices for unnecessary therapy, paying $700,000 restitution.
Insurance Fraud Ring Charged in ACA Scheme
Cory Lloyd and Steven Strong indicted for orchestrating a fraudulent scheme to exploit Affordable Care Act subsidies, targeting vulnerable individuals.
Myrle Miller, Convicted of Poisoning Husband, Dies in Prison
Myrle Miller, convicted of fatally poisoning her husband, has died in prison. This case highlights issues of domestic violence and crime consequences.