What's New

August 9, 2024

Medicare and Some Enrollees Paid Substantially More When Stelara Was Covered Under Part D Versus Part B OEI-BL-19-00500

LEIE Database Updated with July 2024 Exclusions and Reinstatements

August 7, 2024

Opioid Treatment Programs in Washington State Did Not Fully Comply With Federal and State Requirements, Which May Have Put Medicaid Enrollees at Risk for Poor Treatment Outcomes A-09-21-02001

Updated: Corporate Integrity Agreements

Enforcement Actions

August 7, 2024; U.S. Attorney's Office, Eastern District of Washington

Ohio Doctor Sentenced for Conspiring to Accept Kickbacks in Connection with Fraudulent Telemarketing Scheme that Harmed Medicare and TRICARE Patients in Eastern Washington

August 7, 2024; U.S. Attorney's Office, Eastern District of Washington

Owner of Spokane Valley Medical Supply Company Agrees to Pay $224,620 to Resolve Allegations of Health Care Fraud

August 6, 2024; U.S. Attorney's Office, District of Columbia

Maryland Man Convicted of Assaulting Law Enforcement and Other Charges for Actions During Jan. 6 Capitol Breach

What's Trending

1. Fraud Risk and Heightened Scrutiny
2. California Made Capitation Payments for Enrollees Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Another State
3. Report Fraud: Submit a Hotline Complaint
4. Employee Profile: Melissa C. Tucker
5. Fraud Alert: Genetic Testing Scam