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Health Care

Aug 4, 2026

Two New York Ophthalmology Practices Agree to Pay $2.3 Million to Resolve False Claims Act Allegations Involving Cranial Ultrasounds and Kickbacks

The Department of Justice (DOJ) has announced that two Florida-based ophthalmology practices—Fromer Eye Centers and Floral Park Ophthalmology P.C.—agreed to pay a total of $2.3 million to resolve allegations that they violated the False Claims Act (FCA) by billing Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds (TCDs) through an arrangement with a third-party […]

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Aug 4, 2026

Medicare Advantage Provider Agrees to Pay $14.1 Million to Resolve False Claims Act Allegations Involving Unsupported Diagnosis Codes

The Department of Justice (DOJ) has announced that Florida-based management services organization Complete Health Partners Holdings agreed to pay $14.1 million to resolve allegations that it violated the False Claims Act (FCA) by causing false diagnosis codes to be submitted to the Medicare Advantage program.  According to the government, Complete Health’s contracts with Medicare Advantage […]

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Jul 7, 2026

From Compliance Expert to Convicted Fraudster: The Saga of Jean Wilson

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, […]

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Jul 3, 2026

Florida Attorney General Opens Investigation Into CVS Caremark Over Alleged Anticompetitive Pharmacy Practices

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 […]

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