Tag: Department of Justice (DOJ)
DOJ’s Fraud Division launches West Coast-focused Strike Force
May 4, 2026HME News Staff
WASHINGTON – The Justice Department’s National Fraud Enforcement Division has formed the West Coast Health Care Fraud Strike Force, a multi-district enforcement initiative uniting the division’s Health Care Fraud Section with the U.S. Attorney’s Offices for the District of Arizona, District of Nevada, and Northern District of California. “Driven by data showing a significant and accelerating increase in health care fraud across all three districts, the Strike Force builds...
VA, DOJ expand legal authority to improve health care for veterans
March 12, 2026HME News Staff
WASHINGTON – The Department of Veterans Affairs (VA) and Department of Justice (DOJ) have signed a memo of understanding (MOU) that will pave the way for the government to improve care for veterans, the agencies say. The MOU gives the DOJ the authority to appoint VA attorneys as special assistant U.S. attorneys, giving them the legal authority to initiate and participate in state court guardianship or conservatorship proceedings in cases where a legal decision-maker is required for post-acute...
Gov’t reaches proposed settlement in UnitedHealth, Amedisys acquisition
August 11, 2025HME News Staff
WASHINGTON – The U.S. Department of Justice’s Antitrust Division has filed a proposed settlement requiring United Health to divest of at least 164 home health and hospice facilities to resolve the challenge to its $3.3 billion acquisition of Amedisys.
The facilities across 19 states account for about $528 million in annual revenue.
“In no sector of our economy is competition more important to Americans’ well-being than health care,” said Assistant Attorney...
UnitedHealth confirms investigation
July 28, 2025HME News Staff
MINNETONKA, Minn. - UnitedHealth Group says it has proactively reached out to the U.S. Department of Justice after reviewing media reports about investigations into certain aspects of the company’s participation in the Medicare program. In a statement posted to its website, the company says it has now begun complying with formal criminal and civil requests from the department. It says it has full confidence in its practices and is committed to working cooperatively with the department throughout...
‘It’s a rare bill where all parties benefit’: Recent fraud takedown will fuel support for O&P legislation, stakeholders say
July 25, 2025Theresa Flaherty, Managing Editor
WASHINGTON – With the recent Department of Justice takedown of a $10.6 billion Medicare fraud scheme, stakeholders are “more confident than ever” that a new bill that would, among other things, prohibit drop-shipping custom-fitted and custom-fabricated orthoses and prostheses will gain traction in Congress.
Prior to Operation Gold Rush in July, the federal government took down a $1.2 billion Medicare fraud scheme as part of Operation Brace Yourself in 2019.
“Unfortunately,...
Federal agencies unite to strengthen False Claims Act enforcement
July 8, 2025HME News Staff
WASHINGTON – The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) have formed a False Claims Act Working Group to strengthen their coordination and better advance priority enforcement areas.
As part of their work:
HHS shall make referrals to DOJ of potential violations of the FCA that reflect Working Group priorities. In addition to priority FCA matters previously announced by the Assistant Attorney General of the Civil Division, the Working...
In brief: AdaptHealth ‘stays the course,’ Philips sees ‘encouraging start,’ DOJ sues insurers
May 6, 2025HME News Staff
CONSHOHOCKEN, Pa. – AdaptHealth reported revenue of $777.9 million for the first quarter of 2025, a decrease of 1.8% compared to the same period last year.
Net loss attributable to AdaptHealth Corp. was $7.2 million compared to net loss of $2.1 million and adjusted EBITDA was $127.9 million compared to $158.5 million.
“Amid elevated uncertainty in the external environment, we at AdaptHealth have stayed the course, with a relentless focus on improving our business and...
DOJ sues insurers, brokers for patient steering toward MA plans
May 5, 2025HME News Staff
WASHINGTON – The U.S. Department of Justice has filed a complaint against three of the nation’s largest health insurance companies for allegedly paying hundreds of millions of dollars in illegal kickbacks to broker organizations in exchange for enrollment in their Medicare Advantage plans.
The complaint, filed under the whistleblower provisions of the False Claims Act, names Aetna and affiliates, Elevance Health (formerly known as Anthem) and Humana, as well as brokers eHealth...
DOJ sues UnitedHealth to block Amedisys deal
November 20, 2024HME News Staff
WASHINGTON – The U.S. Department of Justice, together with the attorneys general of Maryland, Illinois, New Jersey and New York, has filed a civil antitrust lawsuit to block UnitedHealth Group’s proposed $3.3 billion acquisition of Amedisys because it would eliminate competition between the two companies.
Since UnitedHealth’s acquisition of LHC Group, a competitor of Amedisys, in 2023, UnitedHealth and Amedisys have been two of the largest home health and hospice providers...
DOJ targets health care monopolies, collusion
May 14, 2024HME News Staff
WASHINGTON – The U.S. Department of Justice has formed a Task Force on Health Care Monopolies and Collusion (HCMC) within its Antitrust Division to guide its enforcement strategy and policy approach, including by facilitating advocacy, investigations and, where warranted, civil and criminal enforcement in health care markets.
“Every year, Americans spend trillions of dollars on health care, money that is increasingly being gobbled up by a small number of payers, providers and...