DOJ Reportedly Investigates New York’s Embattled CDPAP Shakeup 

Federal investigators are scrutinizing New York Governor Kathy Hochul’s overhaul of the state’s consumer-directed personal assistance program (CDPAP), according to reports. In recent months, investigators from the U.S. Department of Justice (DOJ) have been actively examining the New York State Department of Health’s choice for a single fiscal intermediary, Public Partnerships LLC (PPL), according to […]

Amedisys Sees Home Health Revenue Rise While UnitedHealth Deal Hangs In The Balance

Amedisys (Nasdaq: AMED) exceeded Wall Street expectations in its first-quarter results for 2025. The company’s home health segment benefited from increased volume and higher rates, while its high-acuity care segment reached a milestone with record admissions. However, Amedisys stock remained relatively flat amid ongoing scrutiny of the Baton Rouge, Louisiana-based company’s proposed merger with UnitedHealth […]

Texas Mayor Involved in $150 Million Home Health Fraud Scheme

Francisco Pena, mayor of Rio Bravo, Texas, has been indicted alongside three other individuals for his alleged role in a $150 million home health care fraud and money laundering scam, according to a memo released by the U.S. Justice Department. Pena, 82, of Laredo, Texas, was charged in an 11-count indictment with co-conspirators Rodney Mesquias, […]

Home Health Owner Gets 80 Years in Prison for Medicare Fraud

The co-owner of a Houston home health agency was sentenced to a lengthy prison sentence for his role in a $13 million Medicare fraud scheme and for filing false tax returns. U.S. District Judge Melinda Harmon of the Southern District of Texas ordered Ebong Tilong, 53, to spend 80 years behind bars, according to the U.S. […]

Three Sentenced to Prison for $3 Million Medicaid Fraud

Three home health agency employees in Ohio have been sentenced to prison for their role in defrauding Medicaid out of $3 million, according to the U.S. Department of Justice (DOJ). The men—43-year-old George Epps, 51-year-old Abdulazis Warsame and 51-year-old Amir Ahmed—worked for Cleveland-based home health care agency Lifeline Home Health Services. Between 2009 and 2013, Epps, […]

Home Care Owners Found Guilty in $80 Million Fraud Scheme

The owners of a Washington, D.C., home care agency have been found guilty of bilking the District of Columbia Medicaid program of more than $80 million. On Nov. 12, a jury found Florence Bikundi, 52, and her husband Michael Bikundi, 63, guilty of a slew of charges, including health care fraud, Medicaid fraud, money laundering […]