Tag · fraud waste abuse

Independence Blue Cross Agrees to Pay $22.5 Million to Resolve Allegations That It Violated the False Claims Act by Submitting or Failing to Correct Inaccurate Diagnoses for Medicare Advantage Enrollees

Texas Mental Health Clinic Owner Convicted in $26M Scheme to Defraud Military Health Benefits Program

Skilled Nursing Company and Executive Agree to Pay $1 Million to Resolve Overbilling Allegations

Clinic owner imprisoned for health care fraud kickback scheme causing $49 million loss

Maryland Long Term Care Pharmacy Pays $5.3M to Settle Allegations of Billing for Drugs Without Valid Prescriptions

Takeda Agrees to Pay $13.6M to Resolve False Claims Allegations Relating to Improper Payments to Physicians

Montana Department of Justice uncovers $2.4 million Medicaid fraud scheme

Attorney General James Secures $6 Million from Three Buffalo Nursing Homes for Years-Long Fraudulent Billing Scheme

Walmart Agrees to Pay $50 Million for Illegally Filling Unlawful Opioid Prescriptions

Attorney General Brown Sues United Healthcare and Optum for Allegedly Defrauding Maryland Medicaid Program with Defective Computer System Published: 8/27/2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

Attorney General James Announces Arrest and Indictment of Queens Pharmacy Owner for Stealing More Than $31 Million

OMIG-assisted investigation leads to arrest of Queens pharmacy owner in alleged $31 million Medicaid fraud scheme

Attorney General Phil Weiser sues Durango doctor for allegedly defrauding Colorado Medicaid of more than $374,000

Brentwood Woman Sentenced to Federal Prison for $6.9 Million Health Care Fraud Scheme

AG Campbell Secures $1 Million Recovery From Transformative Healthcare For Allegedly Submitting False Claims To MassHealth And Failing To Safeguard Sensitive Patient Information

Independence Blue Cross to Pay $22.5M to Resolve False Claims Act Allegations

Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations

Attor­ney Gen­er­al Ken Pax­ton Secures $45 Mil­lion Set­tle­ment with Big Phar­ma Com­pa­ny Gilead to Pro­tect Texas Medicaid

Heal 360 Clinics and owner agree to pay $20m to resolve False Claims Act allegations of billing false claims to the COVID-19 uninsured program for services not rendered

OIG Report (Audit): Medicare Advantage Organizations and Prescription Drug Plans Paid $72 Million During a 3-Year Period for Services Associated With Excluded Providers or Individuals Convicted of Certain Felonies

Attorney General Rayfield Announces Multiple Medicaid Fraud Enforcement Actions

October 20, 2026: Governor Hochul Announces Joint Effort to Protect Taxpayer Dollars and Crack Down on Fraud Within Social Adult Day Care Program

AG Campbell Announces $1 Million Settlement With Nursing Facility Operator RegalCare For Medicare And Medicaid Price Hike Scheme

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

Columbus Doctor, Clinic Manager Plead Guilty in $1.6M Medicaid Scheme

Updated Heightened Scrutiny: Negril Incorporated

Crime SEP 10, 2026 Owner of Erie County Home Health Care Agency Jailed, Ordered to Pay Restitution in $1.86M Medicaid Fraud Scheme HARRISBURG, Attorney General Dave Sunday announced that Tina Bell, owner and manager of Superior Health, Inc., an Erie County home care agency, was sentenced to… Read more

CMS Prevents $1.6 Billion in Fraudulent Medicare Laboratory Payments

Attorney General Tong Announces False Claims Act Settlement with Fairfield County Doctor and His Practices

Abbott Laboratories Agrees to Pay Over $384 Million to Settle False Claims Act Allegations Related to Infant Formula and Nutritional Therapy Products

Essex County Man Sentenced to Three Years in Prison for $3 Million Medicaid Fraud and Tax Offenses

Governor Hochul Announces Joint Effort to Protect Taxpayer Dollars and Crack Down on Fraud Within Social Adult Day Care Program

Maryland Man Convicted of $18.7M Medicare Fraud for Respiratory Testing Scheme Targeting Nursing Homes

Seven charged with crimes related to Medicaid fraud of more than $1 million

Seoul Medical Group Agreed to Pay $100,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Improper Remuneration to Insurance Brokers

Attorney General James Announces Arrest of Queens Dentist Who Stole Over $300,000 from Medicaid

Attorney General Ellison announces $3 million in Medicaid fraud charges against nine providers

Attorney General James Announces Arrest of Queens Dentist Who Stole Over $300,000 from Medicaid

AG Campbell Secures $1.25 Million Settlement With Brockton Adult Foster Care Provider For Failing To Comply With Key Regulatory Requirements

18 Medicaid Providers Indicted on Fraud Charges

Attorney General Jeff Jackson Reaches $384 Million Settlement Over Contaminated Baby Formula That Caused Supply Shortage

Attorney General Hanaway Charges 17 Defendants in Statewide Medicaid Fraud Enforcement Representing Over $450,000 in Stolen Taxpayer Funds

Vision services provider agrees to pay $8M for illegal Medicaid billing for child lenses

OIG Report (Audit): California Did Not Report and Return All Medicaid Overpayments for the State’s Medicaid Fraud Control Unit Cases

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Baptist Health Brookwood Hospital Agreed to Pay $105,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Failed to Meet Coverage Criteria

Updates to the Durable Medical Equipment Services Manual

Attorney General Weiser secures $2.86 million settlement over alleged false billing for Colorado prison health care staffing

OIG Report (Audit): Methodist Hospital Received at Least $12.4 Million in Medicare Overpayments

Peoria Man Charged with Defrauding AHCCCS

Khadeer Khan Mohammed

A Family Affair: Metairie Nurse Arrested for Medicaid Fraud

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Former New Hampshire Doctor Sentenced to Year in Prison for Role in $1.9 Million Medicare Fraud Scheme

Whitesburg ARH Hospital Agreed to Pay $5.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Improper Remuneration in the Form of Staff Costs

Medina Valley Agreed to Pay $455,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Attorney General Rayfield: Advantage Dental to Pay $4.5 Million for Improperly Billing Phone Calls to the Oregon Health Plan

OIG Report (Audit): Wisconsin May Have Improperly Claimed $455 Million in Medicaid Reimbursement for Its School-Based Program

Attor­ney Gen­er­al Pax­ton Secures $7.5 Mil­lion Set­tle­ment from Tris Phar­ma for Mis­rep­re­sent­ing the Effi­ca­cy of ADHD Drug for Kids