Medicare

Medicare Diabetes Patients File Class Action Lawsuit Against HHS Secretary Alex Azar

My grandmothers, the type 2 have struggled with their diabetes as long as I could remember. Sadly, my brother followed in my mother’s footsteps and experienced an early passing at the age of 53. Simply a lay person who has lived with a Type 1 and Type 2 family member who struggled with their disease. AskNadia ColumnI started this column because where ever I go, people tend to ask me a lot of …


Federal Judge Tosses Lawsuit Accusing UnitedHealth of Overbilling Medicare

A federal judge rejected a lawsuit filed by the Department of Justice alleging UnitedHealth Group inflated government reimbursement by submitting information that made Medicare Advantage members appear sicker than they were, Reuters reports. U.S. District Judge John Walter in Los Angeles ruled Thursday the DOJ’s lawsuit failed to name corporate officials of the Minnetonka, Minn.-based insurer who signed documents confirming …


Whistleblower Lawsuit Filed in California Against UnitedHealth Group Is Dismissed

A federal judge has dismissed a whistleblower lawsuit against Minnetonka-based UnitedHealth Group that alleged the nation’s largest health insurer wrongly received higher payments from Medicare based on false information about enrollee health problems that could have been corrected. The ruling, handed down late last week in the U.S. District Court for Central California, does not halt a …


Federal Judge Rejects Medicare Advantage Lawsuit Against UnitedHealthcare

A federal judge has thrown out one of the whistleblower lawsuits that allege UnitedHealth Group received larger Medicare Advantage (MA) payments because of supplying false information. U.S. District Judge John Walter of California’s Central District said the Department of Justice (DOJ), which is taking part in the lawsuit, didn’t show the insurer knew the claims submitted were false. Walter …


Justice Department Joins Second Lawsuit Against UnitedHealth

UnitedHealth Group is one insurer offering Medicare Advantage plans, which cover about one third of people on Medicare. The Justice Department has joined a California whistleblower’s lawsuit that accuses insurance giant UnitedHealth Group of fraud in its …


DOJ Joins Lawsuit Alleging UnitedHealth Overcharged

A lawsuit against UnitedHealth Group alleges that the insurer overcharged Medicare hundreds of millions of dollars. According to Reuters, the lawsuit, which was filed in 2011 but was just unsealed on February 16, claims the insurer depicted …


Life Care Centers of America, Inc. Agrees to Settle Qui Tam Lawsuit Alleging That the Nursing Home Company Billed Medicare and TRICARE for Unnecessary Medical Services; Agrees to Pay $145 Million

The Department of Justice (DOJ) recently announced the settlement of a consolidated False Claims Act (FCA) lawsuit that was filed against private nursing home company Life Care Centers of America, Inc. (“Life Care”). The lawsuit alleges that, between January 2006 and February 2013, Life Care engaged in health care fraud by submitting false claims to Medicare and …


Pomerantz Law Firm Announces the Filing of a Class Action Against American Renal Associates Holdings, Inc. And Certain Officers – ARA

Pomerantz LLP announces that a class action lawsuit has been filed against American Renal Associates Holdings, Inc. (“American Renal” or the “Company”) (ARA) and certain of its officers. The class action, filed in United States District Court, Southern District of New York, and docketed under 16-cv-06841, is on behalf of a class consisting of all …



Government Jumps Into Whistle-Blower Lawsuit Against Prime

The U.S. Justice Department has joined a whistle-blower’s lawsuit against Prime Healthcare Services alleging the hospital chain fraudulently billed Medicare for beneficiaries admitted as inpatients when they should have been treated as outpatients. The government filed notice in U.S. District Court in Los Angeles on Monday saying it would partly intervene in the case. Whistle-blower cases often …