http://www.modernhealthcare.com/article/20150916/NEWS/150919935
Tag Archives: DOJ
The push and pull of increasing hospital consolidation
Healthcare reform drives deals, but regulators also push back
Hospice owner gets 3 years in prison, will pay $2.5 million, for faking reports
From 2010 to 2013, Paula Kluding concealed the true medical condition of Prairie View Hospice’s patients in order to “pass” a Medicare audit and to fraudulently obtain money from Medicare, according to evidence presented at trial.
FTC’s antitrust strategy: Unwind completed mergers and acquisitions
Will antitrust concerns threaten Big 5 consolidation?
http://www.healthcaredive.com/news/will-antitrust-concerns-threaten-big-5-consolidation/401480/
Potential consolidation deals among the nation’s major health insurers are sparking antitrust concerns. Among those moves being watched: Anthem going after Cigna; Aetna going after Humana; and UnitedHealth going after Aetna. The Department of Justice plans to take a hard look if any deals are struck to address questions of whether mergers would suppress competition and present a negative impact to the market.
4 Michigan hospitals sued for blocking competition
Hospitals allegedly conspired to carve out marketing territories in the state to limit competition between the facilities.
FTC and DOJ May Spoil Mega-Mergers Among Payers
http://www.healthleadersmedia.com/page-1/HEP-318136/FTC-and-DOJ-May-Spoil-MegaMergers-Among-Payers
Commission and the Department of Justice will scrutinize any potential mega mergers among health insurance companies for signs of market dominance and the attendant risk of higher costs.
Distinct enforcement trends emerge following the largest fraud takedown in history
Following $450 million settlement, DaVita subpoenaed for Medicare Advantage coding
Subpoena part of a larger focus on Medicare Advantage plans
HENRY KOTULA 