The owner of Sublime Medical Transportation in Schenectady County, New York was recently sentenced to three to nine years in state prison for orchestrating a large Medicaid fraud scheme. Muhammed Adnan Saeed netted over...more
7/21/2025
/ Criminal Prosecution ,
Enforcement Actions ,
Financial Crimes ,
Fraud ,
Government Agencies ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Investigations ,
Medicaid ,
New York ,
Sentencing ,
State and Local Government ,
White Collar Crimes
Cigna filed a lawsuit on June 24 in Manhattan federal court accusing Bristol Myers Squibb of unlawfully blocking generic versions of its blood cancer drug, Pomalyst, from entering the market. The suit also names Celgene, a...more
7/3/2025
/ Anti-Competitive ,
Antitrust Litigation ,
Antitrust Violations ,
Bristol-Myers Squibb ,
CIGNA ,
Competition ,
Drug Pricing ,
Generic Drugs ,
Monopolization ,
Patent Infringement ,
Pharmaceutical Industry ,
Prescription Drugs
The Centers for Medicare & Medicaid Services (CMS) recently published a press release rescinding its June 2022 guidance concerning hospitals’ obligations to pregnant women under the Emergency Medical Treatment & Labor Act...more
6/13/2025
/ Abortion ,
Biden Administration ,
Centers for Medicare & Medicaid Services (CMS) ,
EMTALA ,
Government Agencies ,
Healthcare ,
Healthcare Facilities ,
Hospitals ,
New Guidance ,
Regulatory Requirements ,
Reproductive Healthcare Issues ,
Rescission
Two Pennsylvania nursing home operators were recently sentenced in federal court to pay more than $15 million in restitution in a healthcare fraud case. Comprehensive Healthcare Management Services, the operator of Brighton...more
6/9/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Criminal Prosecution ,
Enforcement Actions ,
False Claims Act (FCA) ,
False Statements ,
Federal Funding ,
Healthcare Facilities ,
Healthcare Fraud ,
Nursing Homes ,
Pennsylvania ,
Settlement
On April 30, the Federal Bureau of Investigation (FBI) released a Public Service Announcement warning consumers about fraudulent discount medical scams. These scams typically involve deceptive offers for health insurance...more
5/30/2025
/ Consumer Protection Laws ,
Enforcement Actions ,
False Advertising ,
FBI ,
Fraud ,
Government Agencies ,
Health Insurance ,
Healthcare Fraud ,
Insurance Industry ,
Scams ,
State Attorneys General ,
Unfair or Deceptive Trade Practices
Just last week, we reported that the 2025/26 NYS Budget Bill did not include a provision that would have increased the requirements for seeking Department of Health (DOH) approval of a material healthcare transaction (which...more
5/22/2025
/ Acquisitions ,
Disclosure Requirements ,
Government Agencies ,
Healthcare ,
Healthcare Facilities ,
Hospitals ,
Mergers ,
New Regulations ,
New York ,
Regulatory Requirements ,
Reporting Requirements ,
State and Local Government