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Health Care Investigations Archives

New York City doctors, others face charges of health care fraud, more

Three physicians, plus four nurse practitioners, a former state assemblyman and five others face a wide variety of criminal charges involving allegations that they turned several New York City clinics into so-called "pill mills."

Health care fraud enforcement under Trump

In recent years, the government has been taking a much more aggressive approach to health care fraud enforcement, and it looks like enforcement efforts could get even more aggressive under the Trump administration.

New crackdown targets Medicaid-unapproved drug reimbursements

Several pharmaceutical companies intentionally misrepresented the degree to which certain drugs and other items were reimbursable under Medicaid, according to the attorney general of another state. The drugs and medical devices were marketed to the state and health care providers as covered outpatient drugs despite being unapproved by the U.S. Food and Drug Administration, the AG alleges, and these fraudulent marketing practices resulted in big gains in market share for the companies.

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