Social Media Ideas for Ppo Violations

AssuredPartners’ ACA Enrollment Fraud Targeting the Homeless

Healthy Professionals Purchase Health Insurance Now Through Private PPO Plans

As ACA premiums climb in 2026, Health Insurance Now sees rising demand for doctor choice.

The Code Section 409(p) Anti-Abuse Rules—What Every S Corporation ESOP Must Know to Avoid Disaster

Carbon Health Settlement Continues Pattern of Heightened California CPOM Enforcement

Key Takeaways A recent settlement between the California Attorney General and Carbon Health continues a pattern of heightened CPOM enforcement, highlighting the AG's focus on MSO...

Private Attorneys General Act (PAGA) Defense: Attorney Insights for Targeted Employers

Employers accused of California Labor Code violations under the state’s Private Attorneys General Act (PAGA) can face substantial civil penalties. PAGA allows current and former em...

AVOIDABLE- Molina Healthcare Settles TCPA Wrong Number Class Action For $1.93MM– and This Doesn’t Have to Keep Happening

JCPenney Settles EEOC Lawsuit Over Firing of Worker with Breast Cancer: $99K Payout

When employers outsource leave administration to a third-party administrator (TPA), legal responsibility remains with the employer – as a recent settlement out of Atlanta shows. Th...

Double Books and Disguised Payees: Corporate Personal Expenses and the Civil Fraud Penalty in Prezioso v. Commissioner

Walter D. Prezioso & Kimberly J. Prezioso v. Commissioner, T.C. Memo. 2026-63, July 28, 2026 The taxpayer, Walter D. Prezioso, joined GSP Precision, Inc. (GSP)—an aerosp...

Complete Health Partners Holdings $14M FCA Settlement: Medicare Advantage Risk-Adjustment Fraud

Complete Health Partners Holdings, a Jacksonville-based management services organization overseeing affiliated provider groups in Florida, Alabama, and Colorado, has agreed to pay...

Progressive Oncology & Hematology’s $1.45 Million FCA Settlement Exposes Systematic Chemotherapy Drug Billing Fraud...

Fringe Benefit, Payroll Reporting Violations Cost Contractor $67K in Back Wages

An investigation into a public works project in Lake County turned into a costly lesson on certified payroll compliance. The Illinois Department of Labor’s (IDOL) Wage Transparency...

Court voids No Surprises Act formula used to settle billing disputes

A federal ruling has thrown the arbitration benchmark for out-of-network claims into uncertainty for employer health plans

Health Provider News

NATIONAL CMS Medicaid fraud unit flags 50 providers, $203M in payments CMS’ proposed remote patient monitoring ban, explained D.C. appeals court sides with HHS in 340B drug discoun...

Colorado Firefighter Alleges Retaliation, Age Discrimination, Wage Violations and False Claims Act Retaliation

A Colorado firefighter has filed suit against the Platteville-Gilcrest Fire Protection District, its fire chief, the Town of Platteville, and the Town of Gilcrest, alleging that he...

Medication Violations Cost Diodoro $70,000 in Purses

The trainer had controlled medication violations in six horses that ran in March at Turf Paradise, including five winners.

FTC’s Caremark Insulin Settlement Puts PBM Rebate Practices in the Antitrust Crosshairs

The FTC has announced a significant settlement with Caremark Rx LLC and Zinc Health Services LLC in its insulin-pricing antitrust matter, marking one of the clearest signals yet th...

LOOSE LANGUAGE: Health Choice Now Loses Arbitration Bid in TCPA Claim Involving C4R and What If Media Group Websites Bec...

FTC’s Caremark Insulin Settlement Puts PBM Rebate Practices in the Antitrust Crosshairs

The FTC has announced a significant settlement with Caremark Rx LLC and Zinc Health Services LLC in its insulin-pricing antitrust matter, marking one of the clearest signals yet th...

Georgia Healthcare Co. Says Ex-Staff Stole Patient Records

Two former employees of a Georgia-based healthcare company stole patient and caretaker compensation data days before leaving the company's Pueblo, Colorado, branch for one of its r...

Insurers Hedge on Trump-Backed Pledge To Improve Denials Process

Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatme...

Mississippi Revokes 59 Agents’ Licenses for Residency Misrepresentation

The Mississippi Insurance Department has revoked the licenses of 59 insurance producers after they reportedly gave false information about their residences and then failed to show...

TCPA LITIGATOR SUED FOR FRAUD!: Court Allows Fraud Claim to Proceed Against Consumer Who Applied for Health Coverage Aft...