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Friday, Jun 28 2024

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Health Care Fraud Probe Leads To 193 People Charged In $2.75B Schemes

The charges stem from the illegal distribution of stimulants, improper billing for treatment, and filing false claims for telemedicine, the Justice Department says. In other news, public health entities and providers have been cautioned about the potential for phishing and ransomware attacks.

The U.S. Justice Department has criminally charged 193 people, including 76 doctors, nurses and other medical professionals, with participating in health care fraud schemes worth $2.75 billion, the agency said on Thursday. The two-week operation ensnared defendants accused of illegally distributing millions of pills of the stimulant Adderall. (6/27)

The federal government is warning providers and public health entities about certain types of cyber attacks and advising them not to pay ransoms. An advisory issued this week by the Health and Human Services Department and the FBI said criminals are using social engineering campaigns to target healthcare, public health entities and providers. Phishing schemes are being used to steal login credentials that give bad actors access to payment information.聽(Turner, 6/27)

Amazon is consolidating its聽healthcare businesses, the tech giant said on Thursday. The company is axing聽its Amazon Clinic聽telehealth marketplace after only 19 months. In its place is a pay-per visit telehealth model where users are automatically connected to a provider rather than getting to choose a third-party vendor in the marketplace. (Turner, 6/27)

More than a dozen independent rural hospitals in Minnesota have teamed up to create聽a聽clinically integrated network, following the lead of providers in other states. The collaboration is designed to coordinate care, reduce costs and improve treatment聽across the 19 hospitals, executives said in a Thursday news release.聽(Kacik, 6/27)

A blind employee of the Department of Veterans Affairs is suing the federal agency on grounds that their new electronic health records system makes it impossible for her to do her job. (Broderick, 6/28)

For seven years, heart surgeons at a Texas medical center allegedly ran multiple operating rooms at once and left complex parts of procedures to their 鈥渦nqualified鈥 trainees before submitting false claims to Medicare, according to a federal settlement reached with their employers this month. Three physicians left operating rooms during procedures 鈥 including open heart surgeries 鈥 and falsely said on medical records that they were present the whole time to collect Medicare reimbursements, the June 13 settlement agreement says. On some occasions, the surgeons allegedly oversaw three operations at once. (Somasundaram, 6/27)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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