Medicaid Law
 
Scott Lynn Gibson, a/k/a Vanessa Lynn v. Bryan Collier




A state does not inflict cruel and unusual punishment by declining to provide sex reassignment surgery to a transgender inmate. The only federal court of appeals to decide such a claim to date has so held as an en banc court. See Kosilek v. Spencer, 774 F.3d 63, 76–78, 87–89, 96 (1st C... More...
   $0 (03-30-2019 - TX)

Bruce A. Vance et al. v. State of Ohio




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On June 26, 2015, appellants, Bruce A. Vance, G. Fredrick Pierce-Ruhland, and the Joseph K. Blystone T... More...
   $0 (03-24-2019 - OH)

United States of America v. Ademola O. Adebayo





Florida Pharmacist Sentenced to 10 Years in Prison for $100 Million Compounding Pharmacy Fraud Scheme
Eight Others Previously Sentenced

A Florida pharmacist was sentenced to 120 months in prison followed by three years supervised release. He was also orderd... More...
   $0 (03-20-2019 - FL)

ABF FREIGHT SYSTEM, INC., AND ARCBEST CORPORATION V. BYRON DUGGER AND DEATH AND PERMANENT TOTAL DISABILITY TRUST FUND




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Appellee suffered a compensable injury to his back on June 28, 2004. He was
treated by Dr. John Wilson, whose treatment included surgery. Appelle... More...
   $0 (03-18-2019 - AR)

United States of America v. James Calhoun




Chicago, IL - Creator of Fraudulent Chicago-Area Pharmacy Sentenced to Five Years in Prison for $1.6 Million Fraud Scheme

The creator of a fraudulent Chicago-area pharmacy has been sentenced to 60 months in federal... More...
   $0 (03-14-2019 - IL)

Planned Parenthood of Greater Ohio v. Richard Hodges





Ohio, like many governments, often partners with nonprofit organizations to promote policies of the State. Through one such partnership, the State distributes government funds to several organizations to address a wide range of public health issues. For many years, Planned Parenthood ... More...
   $0 (03-12-2019 - OH)

Texas Tech Physicians Associates v. United States Department of Health and Human Services

Medicare incentivizes services, not results. Its fee-for-service model risks not only that beneficiaries may receive treatment they do not need, but also that they may miss out on less expensive treatment that might help. See MEDICARE PAYMENT ADVISORY COMM’N, REPORT TO THE CONGRESS: REFORMING THE DELIVERY SYSTEM 7 (June 2008). To test whether other approaches could be more efficient, Congress auth... More...   $0 (03-11-2019 - TX)

State of Ohio v. Charles Tingler





Appellant set forth three assignments of error:
I. The trial court erred in failing to appoint counsel at a community
control revocation hearing that was listed on the “court-appointed” counsel
list maintained by the c... More...
   $0 (03-10-2019 - OH)

State of Ohio v. Ricky Kenneth Stults





The court abused its discretion by denying appellant’s motion for
acquittal pursuant to Crim.R. 29 when there was no positive identification
of appellant in the court room.
II. Appellant’s conviction for burglary, a felon... More...
   $0 (03-01-2019 - OH)

United States of America v. Cindy Lou Geib




Rapid City, SD - Belle Fourche Woman Sentenced for Theft of Government Property

A Belle Fourche, South Dakota, woman convicted of Theft of Government Property, Supplemental Security Income Benefits Fraud, and False Statement was sentenced by Chief Judge Jeffrey L. Viken, U.... More...
   $0 (02-28-2019 - SD)

United States of America v. Pamela M. Van Drie and Lorin G. Van Drie



Springfield, MO - Jury Convicts Former Dental Clinic Owners of $1 Million Health Care, Payroll Tax Fraud

a Marshfield, Mo., couple has been convicted on February 21, 2019 by a federal trial jury of multiple fraud schemes totaling more than $1 million that involved Medic... More...
   $0 (02-28-2019 - MO)

United States v. Vanguard Healthcare, LLC, et al.




Nashville, TN - Vanguard Healthcare Agrees to Resolve Federal and State False Claims Act Liability

Settlement by Nursing Home Chain is Largest Worthless Services Resolution in Tennessee’s History

The Department of Justice announced that Brentwood, T... More...
   $18100000 (02-28-2019 - TN)

United States of America v. Yamilet Diaz




Miami, FL - South Florida Patient Recruiter Convicted For Role In $600,000 Health Care Kickback Scheme

A federal jury found a South Florida patient recruiter guilty today for her role in a scheme involving approximately $600,000 in Medicare claims for home health ca... More...
   $0 (02-22-2019 - FL)

The State of Florida vs. Lorenzo Lorenzo





The State of Florida appeals from a final order granting Defendant Lorenzo
Lorenzo’s [“Lorenzo”] Motion to Vacate Plea, Judgment and Sentence pursuant to
Florida Rule of Criminal Procedure 3.850. We reverse because the motion to
... More...
   $0 (02-15-2019 - FL)

United States of America v. Angela Breitweiser Keith and Ann Davis Eldridge




Columbia, SC - Sumter Women Convicted of Healthcare Fraud for Over-Charging Government by Millions of Dollars

Angela Breitweiser Keith, age 53, and Ann Davis Eldridge, age 58, both of Sumter, South Carolina, pleaded guilty in federal court to o... More...
   $0 (02-13-2019 - )

Angela Kile v. United States of America





Federal Rule of Civil Procedure 17 controls when a district court must appoint
a guardian ad litem for a minor settling claims with a defendant. The plain language
of the Rule is clear: a district court is not r... More...
   $0 (02-12-2019 - OK)

United States of America v. Greenway Health, L.L.C.




Burlington, VT - Electronic Health Records Developer To Pay Second Largest Recovery In The History Of The District Of Vermont -- $57.25 Million -- To Settle False Claims Act Allegations

The Office of the United States Attorney for the District of Vermont stated t... More...
   $0 (02-11-2019 - VT)

United States of America v. Families United Services and Pamela McKenzie





Atlanta, GA - Families United Services and Pamela McKenzie to pay $645,000.00 and agree to exclusion in order to resolve False Claims Act allegations

Families United Services, Inc. (FUS) and Pamela McKenzie, the... More...
   $645000 (02-11-2019 - GA)

United States of America v. Tennessee Health Management, Inc.




Nashville, TN - Skilled Nursing Facility Management Company Agrees to Settle False Claims Act Allegations

Tennessee Health Management, Inc. (“THM”) has agreed to pay $9,764,107.98 to settle allegations that it violated the False Claims Act, announced U.S. At... More...
   $0 (02-06-2019 - TN)

United States of America v. Ali Jama




Columbus, OH - Columbus Home Health Care Provider Sentenced for Fraud

The co-owner of Alpha Star Health Care Inc. was sentenced today in federal court to 18 months in prison for running home health care fraud and tax fraud schemes.

More...
   $0 (02-01-2019 - OH)

United States of America v. Ann Davis Eldridge and Angela Angela Breitweiser Keith




Columbia, SC - The United States of America charged Ann Davis Eldridge, age 57, and Angela Breitweiser Keith, age 53, with:

PENALTY FOR SOCIAL SECURITY FRAUD providing benefits under the South Carolina Medicaid plan and TriCare under false repr... More...
   $0 (01-30-2019 - SC)

United States of America v. John P. Ramirez and Anh Do




Houston, TX - Two South Texas Doctors Sentenced to Prison for Roles in Separate Multi-Million Dollar Medicare Fraud Schemes

Two Houston, Texas physicians were sentenced to 25 and three-year prison terms for their roles in separate sc... More...
   $0 (01-30-2019 - )

State of Florida, Agency for Health Care Administration vs Michael Lee Smathers, II



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After Michael Lee Smathers obta... More...
   $0 (01-24-2019 - FL)

Ammar Al Batha, as Personal etc. et al. vs State of Florida, Agency for Health Care etc.




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Prior to his death, the decedent was involved in a car accident that left him with life threatening injuries. As a result of those i... More...
   $0 (01-18-2019 - FL)

Planned Parenthood of Greater Texas Family Planning and Preventative Health Services, Inc., et al. v. Charles Smith





The Texas Health and Human Services Commission’s Office of Inspector General (“OIG”) sought to terminate the Medicaid provider agreements of Planned Parenthood affiliates throughout the state. The agency based this
1 Judge Haynes concurs in the judgment only.
United State... More...
   $0 (01-18-2019 - )

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