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24 September 2020

Application sinks insured’s claims against agent over hole-in-one coverage

Key Takeaways: Extends the β€œduty to read” principle typically applied to insurance policies to applications submitted by insureds for such policies...

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24 September 2020

New York Medicaid fraud suit should be revived, SCOTUS told

Whistleblower Andrew Gelbman asked the U.S. Supreme Court to reinstate his False Claims Act suit accusing New York City of defrauding...

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24 September 2020

Mining firm files lawsuit over $22 million insurance fraud

Chile’s state-owned Codelco, the world’s largest copper producer, said on Tuesday it had filed a lawsuit over an alleged scam in...

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24 September 2020

No Valentine for “Very Busy” cardiologist convicted of fraud

After examining the body of evidence presented during trial, the Sixth Circuit refused to prescribe a new healthcare-fraud trial for Dr....

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24 September 2020

Dignity Health loses appeal of Medicaid out-of-network billing case

Dive Brief: L.A. Care, the biggest public Medicaid managed care plan in the country, won an appellate court victory late last...

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Government obtains $10.1 million in judgments to resolve Medicaid fraud claims

A Brunswick Medicaid provider and its owner have been ordered to pay more than $10 million to settle a civil fraud...

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24 September 2020

Physician can’t sue for bad faith reporting to medical board

A physician allegedly accused in bad faith of professional misconduct in filings with the state’s medical board doesn’t have the right...

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24 September 2020

Doctors exit Medicare fraud suit against United Biologics

A False Claims Act whistleblower accusing allergy treatment center operator United Biologics LLC of defrauding Medicare and Medicaid failed to adequately...

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24 September 2020

U.S. sues CVS for fraudulently billing Medicare, Medicaid for invalid prescriptions

CVS Health Corp and its Omnicare unit were sued on Tuesday by the U.S. government, which accused them of fraudulently billing...

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24 September 2020

Allstate wins suit against sham law practice in Los Angeles

Allstate Insurance Co. won an appellate court victory in a whistleblower lawsuit against a Los Angeles attorney whom it accuses of...

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