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Tag Archives: healthcare fraud

August 05

HHS and DOJ Launch Joint FCA Working Group, Signaling New Era in Healthcare Fraud Enforcement

New Federal Task Force Zeroes In on Healthcare Fraud A recent announcement was made regarding a major step toward coordinated enforcement between the Department of Health and Human Services (“HHS”) and Department of Justice (“DOJ”). The U.S. Department of Health and Human Services have announced the formation of a joint False Claims Act Working Group. This collaboration has brought on a significant shift and greater emphasis on False Claim Act…

July 25

Whistleblowers

DOJ’s Latest $1.4B Healthcare Fraud Takedown Charges 324 Defendants in Various Schemes

The Department of Justice (“DOJ”) recently had its biggest healthcare fraud takedown in history against defendants for participation in schemes involving over $14.6 billion in losses to the Government. DOJ charged 324 defendants, which included doctors, nurse practitioners, pharmacists, and other medical professionals, in connection with the various schemes. Acting Inspector General Juliet T. Hoghkins of the Department of Health and Human Services Office of Inspector General reported that it…

July 11

Whistleblowers, FCA Qui Tam

Nursing Home Fraud Settlement: Cheltenham Rehab to Pay $3.6M for Substandard Care

On June 3, 2025, the Department of Justice (DOJ) announced that the American Health Foundation (AHF), its affiliate AHF Management Corporation, and three affiliated nursing homes, including Cheltenham Nursing & Rehabilitation Center (Cheltenham), have agreed to pay $3.61 million to resolve a False Claims Act case brought by the United States of America. The complaint alleges that AHF defrauded Medicare and Medicaid by billing for non-existent or grossly substandard care.…

March 31

Whistleblowers

Three Convicted in $8 Million Suboxone Fraud Scheme

On March 20, 2025, A jury in a federal court in Lexington, Kentucky, convicted three people for fraudulently billing Medicare and Medicaid over $8 million for Suboxone prescriptions between October 2017 and December 2020. According to the evidence presented at trial, Dr. José Alzadon, Michael Bregenzer, and Barbie Vanhoose ran an illegal Suboxone fraud scheme through a series of rehabilitation clinics called Kentucky Addiction Centers (KAC). Dr. Alzadon served as…

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