Philip Esformes, a Miami-based healthcare provider, has been charged in a $1bn Medicare fraud case. Esformes allegedly admitted patients to his skilled nursing homes and assisted living facilities who did not qualify for care, and then provided them with medically unnecessary services that he billed to Medicare and Medicaid. Esformes and his co-conspirators are also accused of receiving kickbacks for referring patients to other healthcare providers who also performed unnecessary treatments. Esformes had previously settled civil federal healthcare fraud claims in 2006.
100 MILLION Americans in UnitedHealth PII Breach
UnitedHealth confirmed that February’s ransomware attack impacted 100 million people, the largest healthcare data breach in the US. Health insurance, health, billing, and personal information