Body shop’s RICO suit against insurers dismissed in Florida
The Eleventh Circuit has affirmed the dismissal with prejudice of a putative class action brought by auto body collision repair shops...
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Alleged compliance failures at Omnicare lead to healthcare fraud lawsuit
A series of alleged compliance failures at pharmaceutical services provider Omnicare has resulted in the Department of Justice intervening in yet...
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Sutter Health anti-trust lawsuit settled for $575 million
Northern California’s largest hospital system has agreed to pay $575 million over allegations that it violated state antitrust laws. The 122-page...
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N.Y. court of appeals poised to resolve split over bad faith suits against insurers
After hearing oral argument earlier this month in Haar v. Nationwide Mutual Fire Ins. Co., 32 N.Y.3d 1211 (2019), the New...
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Misleading and deceptive claims regarding Medicare rebates dismissed on appeal
On 17 October 2019, the Federal Court dismissed an appeal brought by Bupa HI Pty Ltd (Bupa) against Dr Andrew Chang...
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California footwear company beats Medicare fraud suit
California footwear company Pedorthic Lab Specialist Custom Shoe Company defeated a whistleblower’s suit accusing it of violating the False Claims Act...
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People ex rel. Allstate Insurance Co. v. Suh
Justia Opinion Summary Allstate filed suit under Insurance Code section 1871.7 on behalf of the People against defendant, her mother, and...
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People v. Pierce
Justia Opinion Summary The Court of Appeal affirmed defendant’s conviction for crimes related to his involvement in an insurance fraud scheme....
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Courts treat public-adjuster scams as cons by policyholders
Courts routinely hold that a public adjuster’s fraud is the policyholder’s fraud, even when done without the policyholder’s knowledge. When a...
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Insurer wins dispute over stolen vehicle claim
The Insurance Corporation of British Columbia (ICBC) was justified in denying an insured’s claim for making a wilfully false statement in...
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