Risk Adjustment Fraud
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Freedom Health, Optimum Healthcare and Its Former COO to Pay $32.5 Million to Settle False Claims Act Allegations of Medicare Fraud
Posted 05/31/17
By the C|C Whistleblower Lawyer Team
Yesterday, the Department of Justice and Constantine Cannon, LLP announced that they had reached a settlement with Freedom Health and Optimum Healthcare, two large health insurers and operators of Medicare managed healthcare insurance plans controlled by Dr. Kiranbhai “Kiran” C. Patel and based in Tampa, Florida, to resolve allegations of systemic Medicare and Medicaid...
May 30, 2017
Posted 05/31/17
Constantine Cannon serves as lead counsel representing whistleblower Dr. Darren Sewell in largest successful whistleblower settlement for claims of risk adjustment fraud at $16.7 million. Total settlement against Freedom Health and Optimum Healthcare, two Florida Medicare Advantage plans, and former Chief Operating Officer Sidd Pagidipati exceeds $32 million. Read the Constantine Cannon press release, the Dept....
May 24, 2017
Constantine Cannon Partner Mary Inman was quoted in the Bloomberg BNA article, UnitedHealth Facing Two DOJ-Led Medicare Advantage Fraud Lawsuits. Click here to read more.United States Files Complaint-in-Intervention in Constantine Cannon Whistleblower’s Case Against UnitedHealth Group
Posted 05/17/17
The Department of Justice announced yesterday that it has filed a complaint-in-intervention against UnitedHealth Group (UHG) in a case brought by Constantine Cannon client Ben Poehling. The government’s complaint alleges that UHG knowingly obtained inflated risk adjustment payments from Medicare Advantage based upon false information regarding the health of beneficiaries in its plans.
UHG is the nation’s...
May 16, 2017
Whistleblower Partner Mary Inman quoted in the Law360 article discussing the federal government’s intervention in the False Claims Act suit, Feds Take Over Whistleblower's UnitedHealth Overbilling Suit. Click here to read more.April 3, 2017
Kaiser Health News, NPR and Salon.com report that DOJ desires to consolidate a lawsuit with Constantine Cannon’s whistleblower case against UHG.March 22, 2017
DOJ discloses that it is investigating health insurance company Humana Inc., a defendant in Constantine Cannon’s whistleblower lawsuit alleging Medicare risk adjustment fraud. Click here to read more.February Roundup – February 17-20, 2017
Constantine Cannon attorneys quoted in articles about the DOJ joining its whistleblower lawsuit against UnitedHealth Group:- UnitedHealth Filing Reflects DOJ’s Heightened Fraud Focus, Bloomberg BNA;
- Whistleblower suit alleges UnitedHealth defrauded Medicare, StarTribune;
- Justice Department joins Medicare Advantage fraud lawsuit against UnitedHealth, Modern Healthcare;
- Feds Join FCA Suit Targeting UnitedHealth Billing, Law360;
- United Healthcare Whistleblower Suit Provides ‘Interesting’ Investment Opportunity, The Street;
- Lawsuit says UnitedHealth tied to scheme to overbill Medicare, MINNPOST;
- DOJ joins whistle-blower suit accusing UnitedHealth of overbilling Medicare , Becker's Hospital Review;
- Justice Department joins lawsuit against UnitedHealth over Medicare billing, Minneapolis/St. Paul Business Journal;
- UnitedHealth Lower Off NYT Article Claiming Suit For Overbilling Medicare, Benzinga;
- UnitedHealth, Health Insurers Fall As DOJ Joins Whistleblower Suit, Investor's Business Daily;
- Feds join whistleblower suit that accuses UnitedHealth of inflating Medicare Advantage risk scores, Fierce Healthcare;
- United Health sinks after being sued by the US government (UNH), Business Insider;
- Feds join whistleblower lawsuit claiming UnitedHealth overcharged Medicare, TwinCities (Pioneer Press);
- UnitedHealth leads Dow losses after US joins whistleblower case, Financial Times;
- UnitedHealth shares fall after Justice Department joins Medicare whistleblower lawsuit, CNBC ;
- UnitedHealth's Medicare business draws federal scrutiny, Minnesota Public Radio;
- DOJ joins whistleblower lawsuit against UnitedHealth Group, WellMed, Healthcare Finance News;
- Suit Says, Scheme Tied to UnitedHealth Overbilled Medicare for Years, Morning Outlook; and
- UnitedHealth Group Targeted by Whistleblower Lawsuit, Hamodia.
United States Intervenes in Constantine Cannon Whistleblower’s suit against UnitedHealth Group, WellMed Medical Management
Posted 02/16/17
By the C|C Whistleblower Lawyer Team
The U.S. Department of Justice has joined Constantine Cannon in bringing a whistleblower’s False Claims Act lawsuit against UnitedHealth Group, the nation’s largest health insurer and largest operator of Medicare managed healthcare insurance plans. The suit alleges UnitedHealth and its various subsidiaries and affiliates defrauded Medicare by improperly inflating its risk...