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  2. Aetna Health Inc. v. Davila - Wikipedia

    en.wikipedia.org/wiki/Aetna_Health_Inc._v._Davila

    The effective result of this decision was that the THCLA, which held Case Management and Utilization Review decisions by Managed Care entities like CIGNA and Aetna to a legal duty of care according to the laws of The State of Texas could not be enforced in the case of Health Benefit plans provided through private employers, because the Texas ...

  3. Winkler County nurse whistleblower case - Wikipedia

    en.wikipedia.org/wiki/Winkler_County_nurse...

    Winkler County, Texas. The Winkler County nurse whistleblower case was a series of legal proceedings in West Texas concerning the retaliation against two nurses who submitted an anonymous state medical board complaint against a physician in 2009. The case attracted national attention for its implications on whistleblowing by nurses.

  4. List of off-label promotion pharmaceutical settlements

    en.wikipedia.org/wiki/List_of_off-label...

    In the first off-label promotion case ever litigated in a whistleblower suit under the False Claims Act, the settlement was announced after eight years of litigation in May 2004. Warner-Lambert agreed to pay $430 million to resolve all civil and criminal liability, with $24.64 million going to Franklin for his participation in the lawsuit. [ 2 ]

  5. Health care fraud - Wikipedia

    en.wikipedia.org/wiki/Health_care_fraud

    The FBI estimates that Health Care Fraud costs American tax payers $80 billion a year. [2] Of this amount $2.5 billion was recovered through False Claims Act cases in FY 2010. Most of these cases were filed under qui tam provisions. Over the course of FY 2010, whistleblowers were paid a total of $307,620,401.00 for their part in bringing the ...

  6. NextGen Healthcare to pay $31 million to settle false claims ...

    www.aol.com/news/nextgen-healthcare-pay-31...

    (Reuters) - Electronic health records vendor NextGen Healthcare Inc has agreed to pay $31 million to resolve allegations that the company violated the False Claims Act, the U.S. Justice Department ...

  7. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

  8. Medical malpractice in the United States - Wikipedia

    en.wikipedia.org/wiki/Medical_malpractice_in_the...

    Texas passed a "tort reform" law taking effect on September 1, 2003. [43] The act limited non-economic damages (e.g., damages for pain and suffering) in most malpractice cases to $250,000 across all healthcare providers and $250,000 for healthcare facilities, with a limit of two facilities per claim.

  9. Debunking false claims about UnitedHealthcare CEO shooting ...

    www.aol.com/news/debunking-false-claims-united...

    Our rating: False. No credible news or police reports have identified the healthcare executive's shooter as "Samuel H. Ide." The photo in the post shows comedian Sam Hyde, who has been repeatedly ...