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March 7, 2026

Kaiser $95M insurer lawsuit

America February 20, 2026

Kaiser is suing Chubb, AIG and eight other insurers for $95 million to offset a $556 million Medicare fraud settlement.

Kaiser Foundation Health Plan Inc. and its Colorado affiliate have filed suit in California federal court against nine major insurers…

By Rihem Akkouche

NFL Player $200M Medicare Fraud Scheme

America February 4, 2026

NFL Player $200M Medicare Fraud Scheme Ends in Guilty Verdict

A former NFL tight end was convicted Tuesday in Florida federal court for orchestrating what prosecutors described as a sprawling…

By Rihem Akkouche

Semler Scientific $37M settlement

America September 27, 2025

Semler Scientific $37M Settlement Ends False Medicare Claims Allegations

The U.S. Department of Justice announced Friday that two medical device companies will pay nearly $37 million to settle allegations…

By Rihem Akkouche

CVS PBM $95M fine medicare overbilling

America June 25, 2025

CVS Caremark Hit With $95M Fine Over Medicare Drug Overbilling

CVS Health’s pharmacy benefit manager, Caremark, has been ordered to pay $95 million for overbilling Medicare Part D drug reimbursements,…

By Rihem Akkouche

nursing homes fca $3.6m settlement

America June 4, 2025

Nursing Homes Settle FCA Claims for $3.6M Over Alleged “Nonexistent” Care

An Ohio-based nursing home chain has agreed to pay $3.61 million to settle a False Claims Act lawsuit that accused…

By Rihem Akkouche

Arizona Man $1.4B Medicare Fraud

America June 3, 2025

Arizona Man Guilty in $1.4B Medicare Scam Using Telehealth Platform

In a case that ripped the mask off a colossal healthcare fraud scheme, an Arizona man was convicted Tuesday by…

By Rihem Akkouche

SuperValu $123M FCA Case Heads To Trial

America February 1, 2025

SuperValu $123M FCA Case Heads To Trial

SuperValu is set to face trial on Feb. 10 in Springfield, Illinois, over allegations that it overbilled government health programs…

By Rihem Akkouche

America September 9, 2024

$50 Billion Scam: How Health Insurers Are Exploiting Medicare with Fake Diagnoses

Quick Hits: Medicare Overcharge: Health insurance companies overcharged the federal government by $50 billion through misleading diagnoses under Medicare Advantage…

By Samuel Lopez

Lab Executive Imprisoned for $234M Medicare Fraud

America January 31, 2024

Lab Executive Imprisoned for $234M Medicare Fraud

In a dramatic turn of events, Imran Shams, the mastermind behind a staggering $234 million Medicare fraud scheme, has been…

By Rochdi Rais

Sutter Health

California News August 31, 2021

Sutter Health to Pay $90 Million to Settle Medicare Fraud Allegations

Sutter Health and its affiliates, the largest hospital system in northern California, agreed to pay $90 million to settle a…

By Marivic Cabural Summers

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