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HHS Announces LEAP in Health IT Special Emphasis Notice for AI and Behavioral Health Focused Projects in Fiscal Year 2024

The U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC), published a Special Emphasis Notice (SEN) under the Leading Edge Acceleration Projects (LEAP) in Health Information Technology (Health IT) funding opportunity for fiscal year 2024.

May 16, 2024

Physician and Owner of Bellflower Medical Clinic Pleads Guilty to Defrauding Medi-Cal Family Program Out of More Than $2.5 Million

The owner and sole physician at a Bellflower medical clinic has pleaded guilty to submitting millions of dollars’ worth of false claims to a Medi-Cal health care program that provides family planning services to low-income and uninsured patients, causing more than $2.5 million in losses, the Justice Department announced.

May 16, 2024

Florida Man Sentenced to 10 Years in Prison and Ordered to Pay More Than $97 Million in Restitution for Participation in Multiple Health Care Fraud and Kickback Schemes

A resident of Fort Lauderdale, Florida, was sentenced in federal court to 120 months of imprisonment, to be followed by three years of supervised release, and was ordered to pay more than $97 million in restitution and to forfeit more than $30 million and the proceeds from the sale of a yacht for conspiring to commit health care fraud and conspiring to pay and receive unlawful kickbacks, First Assistant United States Attorney Troy Rivetti announced.

May 16, 2024

U.S. Attorney’s Office Announces the Formation of Multi-Agency Health Care Fraud Task Force

Together with state and federal partners, U.S. Attorney Adair F. Boroughs announced the formation of the Palmetto Health Care Fraud Task Force (PHCF Task Force), which has been created as a dedicated task force to combat health care fraud and recover taxpayer money in the District of South Carolina through criminal and civil actions

CMS Statement on Agent and Broker Marketplace Activity, Update

CMS remains committed to protecting consumers in the Marketplaces to ensure they are enrolled in the plan of their choosing and to terminate brokers who defraud consumers.

Treasury Releases Social Security and Medicare Trustees Reports

Following a meeting of the Social Security and Medicare Boards of Trustees, the U.S. Department of the Treasury—joined by Departments of Health and Human Services and Labor, the Centers for Medicare & Medicaid Services, and the Social Security Administration— released the annual Social Security and Medicare Trustees Reports.

HHS’ Statement on Ascension Health’s Cyber Incident

HHS is aware of a cyber incident involving Ascension Health and is in communication with Ascension Leadership to understand their efforts to minimize any disruptions to patient care.

HHS shares its Plan for Promoting Responsible Use of Artificial Intelligence in Automated and Algorithmic Systems by State, Local, Tribal, and Territorial Governments in the Administration of Public Benefits

The U.S. Department of Health and Human Services (HHS) publicly shared its plan for promoting responsible use of artificial intelligence (AI) in automated and algorithmic systems by state, local, tribal, and territorial governments in the administration of public benefits – PDF.

California Man Sentenced to 15 Months in Prison for Role in Multistate Recovery Home Patient Brokering Scheme

A California man was sentenced to 15 months in prison for his role in a conspiracy to broker patients as part of a multistate patient scheme in which he directed recruiters to bribe drug-addicted individuals to enroll in drug rehabilitation and received referral fees from the rehabilitation centers, U.S. Attorney Philip R. Sellinger announced.

Laboratory Owners Charged in $36M COVID-19 Testing Fraud Scheme

An indictment was unsealed in the Southern District of Florida charging three men for their alleged roles in an approximately $36 million healthcare fraud, wire fraud, and money laundering scheme that involved submitting false and fraudulent claims for COVID-19 testing to health care benefit programs, including Medicare and the Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program.

HHS Issues New Rule to Strengthen Nondiscrimination Protections and Advance Civil Rights in Health Care

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) issued a final rule under Section 1557 of the Affordable Care Act (ACA) advancing protections against discrimination in healthcare.

Clinic Owner Sent to Prison for Orchestrating $15M Medicare Fraud and Kickback Scheme

The owner of a Houston-area mental health clinic has been sentenced for conspiracy to commit healthcare fraud, announced U.S. Attorney Alamdar S. Hamdani.

HHS Finalizes Rule to Strengthen Services and Protections for Unaccompanied Children in Its Care

The U.S. Department of Health and Human Services’ Administration for Children and Families (ACF) displayed its Unaccompanied Children Program Foundational Rule, which sets clear standards and protections and enhances the legal framework governing the Office of Refugee Resettlement’s (ORR) Unaccompanied Children (UC) Program.

The Biden-Harris Administration Issues New Rule to Support Reproductive Healthcare Privacy Under HIPAA

The Biden-Harris Administration, through the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) announced a Final Rule, entitled HIPAA Privacy Rule to Support Reproductive Health Care Privacy.

Pittsburgh Health Care Facility Owner Indicted on 33 Counts, Including Fraud, Money Laundering, and Making False Statements Related to Healthcare Matters

A resident of Pittsburgh, Pennsylvania, has been indicted by a federal grand jury in Pittsburgh on charges of health care fraud, making false statements relating to health care matters, and money laundering, United States Attorney Eric G. Olshan announced.

Government

HHS Announces LEAP in Health IT Special Emphasis Notice for AI and Behavioral Health Focused Projects in Fiscal Year 2024

Physician and Owner of Bellflower Medical Clinic Pleads Guilty to Defrauding Medi-Cal Family Program Out of More Than $2.5 Million

Florida Man Sentenced to 10 Years in Prison and Ordered to Pay More Than $97 Million in Restitution for Participation in Multiple Health Care Fraud and Kickback Schemes

HHS shares its Plan for Promoting Responsible Use of Artificial Intelligence in Automated and Algorithmic Systems by State, Local, Tribal, and Territorial Governments in the Administration of Public Benefits

California Man Sentenced to 15 Months in Prison for Role in Multistate Recovery Home Patient Brokering Scheme

Laboratory Owners Charged in $36M COVID-19 Testing Fraud Scheme

HHS Issues New Rule to Strengthen Nondiscrimination Protections and Advance Civil Rights in Health Care

Clinic Owner Sent to Prison for Orchestrating $15M Medicare Fraud and Kickback Scheme

HHS Finalizes Rule to Strengthen Services and Protections for Unaccompanied Children in Its Care

The Biden-Harris Administration Issues New Rule to Support Reproductive Healthcare Privacy Under HIPAA

Pittsburgh Health Care Facility Owner Indicted on 33 Counts, Including Fraud, Money Laundering, and Making False Statements Related to Healthcare Matters

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