Big deal on Medicaid fraud: what we know about a major settlement
North Carolina and federal prosecuters have taken a big bite out of Medicaid fraud with a settlement announced Wednesday (May 6)....
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Allstate accuses Chicago surgery center of running fraud scheme
Allstate is taking aim at a Chicago surgery center and a wide cast of clinics, owners and a billing company, accusing them of running a coordinated...
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Client Alert: Fourth Circuit Reverses Medicaid Fraud Convictions in U.S. v. Davis: A Reminder That Pattern Evidence Is Not a Substitute for Count-Specific Proof
Case Summary In an unpublished opinion issued April 24, 2026, a divided Fourth Circuit panel reversed two convictions under 18 U.S.C....
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DOJ Announces New West Coast Health Care Fraud Strike Force
On April 30, 2026, the Department of Justice’s National Fraud Enforcement Division announced the creation of the West Coast Health Care Fraud...
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U.S. Attorney’s Office Hosts Health Care Fraud Consortium Workshop with Federal Partners
The United States Attorney’s Office for the District of Nevada and the Justice Department’s Health Care Fraud Unit on Monday held...
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TrustLayer AI Analyzes 400,000 Monthly COIs to Detect Insurance Fraud
Modern risk management is shifting away from legacy manual verification as TrustLayer continues to scale its AI-driven fraud detection capabilities. Processing...
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Fighting Fraud in Massachusetts
A few years ago, Deb Bloomberg’s mother received an alarming call from someone claiming to be an attorney for her granddaughter....
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GEICO sues four New York suppliers over $2.6m no-fault fraud scheme
GEICO has sued four New York medical suppliers, alleging a $2.6 million No-Fault fraud scheme run through paper owners and a hidden...
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Watchdog Paper Warns against Insurance Fraud for Child Gender Transition Procedures
A paper published last month by medical watchdog group Do No Harm warns state officials and health insurance providers that “Healthcare Providers May...
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The Fraud Division Launches West Coast Strike Force to Target Health Care Fraud Schemes Across Arizona, Nevada, and Northern California
The Justice Department’s National Fraud Enforcement Division (Fraud Division) today announced the formation of the West Coast Health Care Fraud Strike...
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