Recent developments in the legal battle over the planned $3.3 billion UnitedHealth Group (NYSE: UHG) acquisition of Amedisys (Nasdaq: AMED) have moved the case closer to trial and shed more light on how UnitedHealth and Amedisys are pursuing divestments and defending the transaction. First, UnitedHealth dropped its motion to dismiss the case, saying that the […]
DOJ
The U.S. Department of Justice (DOJ) and four state attorneys general filed a lawsuit to block UnitedHealth Group’s (NYSE: UNH) acquisition of Amedisys (Nasdaq: AMED) this week. The DOJ’s complaint is thorough, with some compelling arguments, and some less so. Home health veterans have been predicting consolidation of the fragmented industry for a long time. […]
The Department of Justice is reportedly prepping a lawsuit to block UnitedHealth Group’s (NYSE: UNH) takeover of Amedisys (Nasdaq: AMED). Bloomberg first reported the news. Its report, citing anonymous sources, says that the Amedisys and UnitedHealth Group leaders did meet with DOJ officials last week. That meeting did not change the DOJ’s mind, however. UnitedHealth […]
Amedisys (Nasdaq: AMED) and UnitedHealth Group (NYSE: UNH) leaders were reportedly set to meet with officials from the U.S. Department of Justice (DOJ) this week over their pending deal. The DOJ’s decision on whether to file a lawsuit to block the deal, however, has now reportedly been postponed until after the Nov. 5 presidential election. […]
Oak Street Health – a key pillar of CVS Health’s (NYSE: CVS) health care services strategy – has reached a $60 million settlement with the Department of Justice (DOJ). The settlement is being paid to resolve allegations that Oak Street violated the False Claims Act, specifically by paying kickbacks to third-party insurance agents. The DOJ […]
Home-based care agencies should keep a close eye on developments made by the Biden administration when it comes to antitrust laws and non-compete agreements, according to industry insiders. Partners and shareholders with the Polsinelli law firm detailed the latest updates within the Department of Justice (DOJ) on a webinar Thursday. They also covered how new […]
Federal watchdogs have tied a bow on a key part of one of the largest Medicare fraud schemes in history. The U.S. Attorney’s Office for the Southern District of Florida announced Friday that Rodolfo Pichardo and Marta Pichardo — husband and wife — were each sentenced to several years in prison for their roles building […]
Caris Settles False Claims Act Lawsuit for $8.5 Million Caris Healthcare, L.P. and its wholly-owned subsidiary, Caris Healthcare, LLC, have agreed to pay $8.5 million to settle allegations they violated the False Claims Act by knowingly submitting false claims and retaining overpayments for patients who were ineligible for the Medicare hospice benefit because they were […]
Michigan Agency Owner Pleads Guilty in $8 Million Fraud Scheme Zahir Shah, 48, of West Bloomfield, Michigan, pleaded guilty to fraud charges for his role in a scheme involving approximately $8 million in fraudulent Medicare claims for home health services procured through illegal kickbacks, according to the Department of Justice (DOJ). Shah pleaded guilty to […]
Three Miami Home Health Agency Owners Charged in Fraud Scheme Three Miami-area home health care agency owners were charged in an indictment for their alleged participation in a health care fraud scheme involving a now-defunct business, the Department of Justice (DOJ) announced in March. Ailin Consuelo Rodriguez Sigler, 39; Ziola C. Rios, 57; and Thomas […]
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