On June 30, 2025, New York Attorney General (AG) Letitia James announced new lawsuits, criminal charges, and settlements with 25 New York transportation companies related to alleged schemes to defraud Medicaid of millions....more
7/16/2025
/ Cease and Desist Orders ,
Criminal Convictions ,
Criminal Prosecution ,
Enforcement Actions ,
False Billing ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Insurance Fraud ,
Investigations ,
Kickbacks ,
Medicaid ,
Medical Reimbursement ,
New York ,
Settlement ,
State Attorneys General ,
Transportation Contracts ,
Transportation Costs
In May, California’s attorney general (AG) charged a local dermatologist with more than 20 counts of fraud after uncovering a scheme that allegedly resulted in the state’s Medicaid program paying out over $1.3 million for...more
6/17/2025
/ California ,
Criminal Prosecution ,
Enforcement Actions ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Insurance Fraud ,
Medi-Cal ,
Medicaid ,
Physicians ,
State Attorneys General ,
State False Claims Acts ,
White Collar Crimes
On May 8, the Superior Court of Arizona in Maricopa County ordered a health care company to pay more than $30 million in restitution to the Arizona Health Care Cost Containment System (AHCCCS) due to the company’s alleged...more
5/28/2025
/ Arizona ,
Criminal Convictions ,
Criminal Prosecution ,
Enforcement Actions ,
False Billing ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Medicaid ,
Regulatory Violations ,
Restitution ,
Sentencing ,
State Attorneys General
On May 9, Connecticut Attorney General (AG) William Tong, in collaboration with the U.S. Attorney’s Office for the District of Connecticut, announced a $495,721 false claims settlement with Advanced Dental Center PC (Advanced...more
5/23/2025
/ Anti-Kickback Statute ,
Connecticut ,
Dentists ,
False Claims Act (FCA) ,
Government Agencies ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Settlement Agreements ,
State Attorneys General ,
Statutory Violations
The Office of Massachusetts Attorney General (AG) Andrea Campbell announced the criminal indictment of several Massachusetts-based health care providers and their owners in connection with allegedly false claims they...more
4/4/2025
/ Anti-Kickback Statute ,
Criminal Prosecution ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Insurance Claims ,
Kickbacks ,
Medicaid ,
Medicaid Reimbursements ,
Physicians ,
State Attorneys General
On February 4, a Vermont Superior Court judge entered a $2,733,989.47 judgment against Phoenix Counseling & Wellness, PLC (Phoenix), and the company’s owner for alleged violations of the Vermont False Claims Act (VFCA)....more
The U.S. Department of Justice (DOJ) and 18 state attorneys general (AG) announced a settlement with Boston-based QOL Medical, LLC (QOL) and its CEO, Frederick Cooper, to resolve allegations that the company provided unlawful...more
2/13/2025
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Pharmaceutical Industry ,
State Attorneys General ,
Whistleblowers
Over the last decade, observers have noted that states have begun to play a greater role as regulatory enforcers — a trend that increased with the federal regulatory rollback that began with the advent of the Trump...more
Over the last decade, observers have noted that states have begun to play a greater role as regulatory enforcers – a trend that increased with the federal regulatory roll-back that began with the advent of the Trump...more
10/1/2020
/ Corporate Counsel ,
Department of Justice (DOJ) ,
Enforcement Authority ,
False Claims Act (FCA) ,
Federal Trade Commission (FTC) ,
Healthcare Fraud ,
Insurance Fraud ,
Medicaid ,
Medicare ,
Opioid ,
Regulatory Authority ,
Relators ,
State and Local Government ,
State Attorneys General ,
Unfair or Deceptive Trade Practices