In late June 2026, the Department of Justice (DOJ) announced that the owner of two telemedicine companies was sentenced to 120 months in prison and ordered to pay $66 million in restitution for her role in a Medicare fraud scheme involving durable medical equipment (DME) and prescription drugs. According to DOJ’s press release, Jean Wilson, […]
Florida Attorney General James Uthmeier has opened an investigation into CVS Health Corporation and its pharmacy benefit manager (PBM), Caremark, over alleged anticompetitive conduct affecting pharmacies and patients in Florida. As laid out in a press release issued by the Florida Attorney General’s Office, CVS Health owns both Caremark—one of the nation’s largest PBMs—and hundreds […]
On June 23, 2026, the Department of Justice (DOJ) announced its “2026 National Health Care Fraud Takedown,” a nationwide enforcement action resulting in charges against 455 defendants, including 90 doctors and other licensed medical professionals. According to DOJ, the cases involve more than $6.5 billion in alleged false claims, as well as alleged patient harm, […]
In a recent update that should command the attention of healthcare providers, compliance officers, and healthcare counsel alike, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) issued two new FAQs emphasizing its view that compliance with the Stark Law and adherence to fair market value (FMV) principles, standing alone, do […]
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