Adventist Health System/West, dba Adventist Health, and its affiliated hospital White Memorial Medical Center have agreed to pay the United States and the state of California $14.1 million to settle claims that they violated the False Claims Act, the Justice Department announced today. Adventist Health is headquartered in Roseville, Calif., in the Eastern District of California, and oper... More...   $14100000 (05-04-2013 - )

The mastermind of a $29.1 million Medicare fraud scheme involving approximately 30 purported medical clinics pleaded guilty today in Detroit for his role in the scheme.

The guilty plea was announced by Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division; U.S. Attorney for the Eastern District of Michigan Barbara L. McQuade; Special Agent in Char... More...   $29100000 (05-03-2013 - MI)

Allstate Fire and Casualty Insurance Company appeals a county court order entering summary judgment in favor of Dr. Jeffrey Tedder, as assignee of Jorge

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Perez's personal injury protection (PIP) benefits under Perez's automobile insurance policy. The county court entered an order certifying the issue addressed in the final judgment as a matter of great public importance, and this ... More...   $0 (04-24-2013 - FL)

Following a jury trial, Defendant-Appellants Patrick J. Gelin ("Gelin") and Micheline Lamarre ("Lamarre") were each convicted under 18 U.S.C. §§ 1347 and 1349 for making fraudulent claims to, and obtaining payment from, insurance companies participating in Massachusetts' no-fault automobile insurance program. Footnote They appeal their convictions, arguing first that the district court erred in... More...   $0 (04-01-2013 - MA)

MedQuest Associates, Inc. and three of its subsidiaries (collectively “MedQuest”) appeal an $11,110,662.71 judgment against them for filing false claims for reimbursement under Medicare Part B in this False Claims Act (FCA) qui tam action. The claims fall into two categories: (1) claims that were false because MedQuest used physician supervisors who were not approved by the local Medicare carr... More...   $0 (04-01-2013 - TN)

The federal Medicaid statute’s anti-lien provision, 42 U. S. C. §1396p(a)(1), pre-empts a State’s effort to take any portion of a Medicaid beneficiary’s tort judgment or settlement not “designated aspayments for medical care,” Arkansas Dept. of Health and Human Servs. v. Ahlborn, 547 U. S. 268, 284. A North Carolina statute requires that up to one-third of any damages recovered by a ben... More...   $0 (03-30-2013 - NC)

Maria Ramirez sued the Oklahoma Health Care Authority claiming:

1) Maria Rarnirez (“Ramirez”) is now and at all times relevant to this action has been a resident of Tulsa County, Oklahoma.

2) The OHCA is an Oklahoma governmental agency that administers Oklahoma’s Medicaid program throughout the State of Oklahoma including Tulsa County, Oklahoma.

3) The motor vehicl... More...   $1 (03-22-2013 - OK)

¶1 The United States Court of Appeals for the Tenth Circuit (Tenth Circuit) certified a single question of first impression to this Court under the Revised Uniform Certification of Questions of Law Act, 20 O.S. 2011 §1601, et seq. We are not asked whether the negligence claim is preempted by federal law as the Tenth Circuit has resolved that preemption analysis has no place in the cause. Rather,... More...   $0 (03-19-2013 - OK)

3 Sharon Thurber worked at Quest Diagnostics (“Quest”) as
4 a client services representative from 1993 through August
5 15, 2007. As a full-time Quest employee, Thurber was
6 enrolled in Quest’s Employee Retirement Income Security Act
7 (ERISA) disability benefits plan, administered by Aetna Life
8 Insurance Company (“Aetna”). Under the plan, Thurber was
9 entitle... More...   $0 (03-13-2013 - NY)

In 2010, the North Carolina General Assembly voted to impose stricter eligibility requirements for in-home personal care services (PCS), an optional Medicaid program that assists disabled adults with daily tasks such as eating and bathing. Appellees—thirteen North Carolina residents who lost access to in-home PCS due to the statutory change (collectively "the PCS Recipients")—brought suit, con... More...   $0 (03-05-2013 - NC)

8 One of the central goals of the Americans with Disabilities
9 Act of 1990 (“ADA”), 42 U.S.C. § 12101 et seq., is to ensure that,
10 if reasonably practicable, individuals are able to obtain and
11 maintain employment without regard to whether they have a
12 disability. To accomplish this goal, the ADA requires that
13 employers provide reasonable accommodations to qualif... More...   $0 (03-05-2013 - NY)

This is an appeal from a divorce and child-custody jury trial. By eleven issues— which we consolidate into five—appellant Robert Scott Howell contends that the trial court erred by: (1) making an improper comment on the evidence; (2) overruling several of his evidentiary objections; (3) overruling his expert challenge; and (4) overruling his motion for judgment notwithstanding the verdict on t... More...   $0 (02-28-2013 - TX)

United States sued Momence Meadows Nursing Center, Inc. under the False Claims Act and the Illinois Whistleblower Reward and Protection Act for fraudulent billing of worthless services and false certification that the nursing home was in compliance with federal and state patient care regulations. Former employees of the defendant nursing home claimed that it defrauded Medicare and Medicaid by pro... More...   $28100000 (02-26-2013 - IL)

{1} Appellant Karen Montoya, Bernalillo County Assessor (the Assessor), appeals from the district court’s order reversing the Bernalillo County Valuation Protest Board’s (the Board) determination that Appellee La Vida Llena is not entitled to a charitable exemption from property tax. On appeal, we consider whether the property tax exemption for a continuing care facility that donates or render... More...   $0 (02-19-2013 - NM)

A.G.Q. is a child with severe developmental disabilities who is on the waiting list for the Medicaid waiver program, which allows waivers from compliance with certain statutes and regulations for persons with developmental disabilities who are provided services in the home. See Russell v. Agency for Persons With Disabilities, 929 So. 2d 601 (Fla. 1st DCA 2006). The agency denied his application to... More...   $0 (02-08-2013 - FL)

William D. Evans v. HCA Health Services of Oklahoma, Inc. d/b/a OU Medical Center, Rixie Mae Albrecht, M.D., Kristi Prejeant, M.D. and Meredith Workman, M.D. on medical negligence (medical malpractice) theories claiming:

1. On the June 9, 2008, Marilyn Fay Evans presented to OU Medical Center to undergo a colonoscopy and it was discovered she had a mass in her recto-sigmoid colon. She was... More...   $0 (01-31-2013 - OK)

¶ 1. BURGESS, J. Defendant Donna Mae Peck appeals from a superior court judgment granting plaintiff Victor J. Shattuck a writ of possession for the parties’ former residence in Cavendish and denying defendant’s counterclaim for an equitable interest in the Cavendish property and another former residence in Springfield. We affirm.

¶ 2. The facts as found by ... More...   $0 (01-20-2013 - VT)

The instant case calls upon us to decide whether a state statute restricting access to a polling place infringes on the media‟s First Amendment right to gather news. Appellant PG Publishing Company (“Appellant” or “PG”) seeks review of the District Court‟s decision to dismiss its suit against election officials for the Commonwealth of Pennsylvania. Specifically, Appellant alleges viola... More...   $0 (01-16-2013 - PA)

Luis Alejo, Maria Medina, Angelica Arechiga, Joel Avila, Frente Indígena Oaxaqueño Binacional, Comité Pro Educación, Parents for Unity, and Californians Together, plaintiffs below, sought in the trial court to compel defendants, Tom Torlakson, in his official capacity as the State Superintendent of Public Instruction ( Superintendent); the State Board of Education (SBE); and the California Dep... More...   $0 (01-13-2013 - CA)

This case involves a constitutional challenge to Florida’s “Patient Self-Referral Act of 1992” (the “Florida Act”), FLA. STAT. § 456.053, which prohibits Florida physicians from referring their patients for services to business entities in which the referring physicians have a financial interest. Appellants Fresenius Medical Care Holdings, Inc., DVA Renal Healthcare, Inc., and Davita, I... More...   $0 (01-10-2013 - FL)

Appellant Rosaena Resendez appeals from the trial court's order dismissing her suit against her former employer, the Texas Commission on Environmental Quality (the "Commission"), for damages under the Texas Whistleblower Act. See Tex. Gov't. Code Ann. §§ 554.001-.009 (West 2012). The Commission filed a plea to the jurisdiction, arguing that sovereign immunity had not been waived because Resende... More...   $0 (12-28-2012 - TX)

The plaintiffs brought suit alleging that the defendant, Health and Hospital Corporation of Marion County, Indiana d/b/a Wishard Memorial Hospital d/b/a Wishard Ambulance Service (“Wishard”) violated the Emergency Medical Treatment and Active Labor Act (“EMTALA”), 42 U.S.C. § 1395dd, by failing to stabilize Melissa Welch and her minor son, Joshua Beller, during an emergency medical situat... More...   $0 (12-21-2012 - IN)

Christine Kay Hanks, Marcella Kay Barone, Nancy Rebecca Humphries, Teresa Ann McCurdy and Ronald Langham sued Christopher P. Edwards and Procidence Home Care, LLC on breach of contract theories claiming:

1. Christine Kay Hanks is an individual whose residence is in Oklahoma County, State of Oklahoma (hereafter, referred to as “Plaintiff, Hanks”). Plaintiff, Hanks, at all times pertin... More...   $0 (12-07-2012 - OK)

COME NOW, SAMANTHA ELLEDGE, Individually and as Next Friend of DANIEL MILLER, a Minor hereinafter referred to as “Plaintiffs, complaining of SSM HEALTHCARE OF OKLAHOMA, INC., dlb/a ST. ANTHONY’S HOSPITAL, ANTHONY DWAYNE JACKSON, M.D., ANTHONY D. JACKSON, M.D., P.C., and KAYCI DAE LEWIS, D.O., hereinafter collectively referred to as “Defendants,” and for cause of action would respectfully s... More...   $1 (11-05-2012 - OK)

In 2011 Indiana adopted a law prohibiting state agencies from providing state or federal funds to “any entity that performs abortions or maintains or operates a facility where abortions are performed.” IND. CODE § 5-22-17-5.5(b). The Hyde Amendment already forbids states from using federal funds to pay for most nontherapeutic abortions; Indiana has a similar ban on the use of state funds. The... More...   $0 (10-23-2012 - IN)