The US Justice Department’s criminal division is digging into UnitedHealth Group Inc.’s prescription management services as ...

As sentencings set to resume, U.S. Attorney's Office says any fines must consider that overbilling fraud cost insurers millions of dollars.

This article covers recent healthcare enforcement actions: an FCA lawsuit on kickbacks and discrimination, the DOJ’s largest 2025 health care fraud takedown and a court ruling clarifying EKRA’s scope, ...

According to court records, he and his company paid a $150,000 judgment after reaching a settlement in another fraud case.

In 2014, Caremark was accused of manipulating how drug costs were reported, prompting Aetna and SilverScript to submit false ...

Linda Karlinsey didn't order $2,600 worth of medical supplies. Why is a New York-based medical supply company continually trying to charge her for them?

Notably, the case came from a whistleblower lawsuit filed by Sarah Behnke, a former Medicare Part D actuary at Aetna, who claimed that CVS Caremark caused insurers like Aetna to submit inflated drug ...

Mohamed Mokbel is accused in a $134 million Medicare fraud case. Neighbors said this is the latest event bringing unwanted attention to their block.

Raleigh, NC Doctor Anita Louise Jackson was found guilty of using unsanitary surgical devices in a Medicare fraud case, the Justice Department said.

A federal appeals court has overturned a judge's unusual decision to acquit a Maryland doctor whom a jury found guilty in a $15 million health care fraud case involving COVID-19 tests, but upheld ...