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March 07, 2024 | New York Law Journal

Recent Guilty Pleas Highlight Illegal Control of Medical Practices, Kickbacks for Patient Referrals

The final two defendants in 'United States v. Pierre' pled guilty to charges stemming from their involvement in an insurance fraud scheme. Pending sentencing, the guilty pleas conclude a two-year prosecution that exposed a scheme to hijack New York's no-fault insurance system for personal profit.
9 minute read
January 30, 2024 | New Jersey Law Journal

Suits Test Physicians' Outsourcing of Reimbursement Disputes With Insurance Companies

The Allia Group, formerly known as eCure, "utilizes novel and proprietary legal strategies to fight for providers and recover underpaid reimbursements," said the LinkedIn page of company principal Evin Levin.
5 minute read
November 29, 2023 | New Jersey Law Journal

UnitedHealth Targeted in New Lawsuit Alleging Underpayment of Out-of-Network ER Doctors

This complaint was first surfaced by Law.com Radar.
3 minute read
August 21, 2023 | Litigation Daily

Litigation Leaders: Robin Cohen of Cohen Ziffer on the Advantages of Being on the Policyholder Side of the Insurance Recovery Practice

"Rather than competing with my colleagues for business, I have been able to partner with so many of my former Big Law colleagues who routinely refer me clients because of conflicts," says Cohen, who launched her boutique with colleagues from McKool Smith.
12 minute read
August 21, 2023 | Delaware Business Court Insider

Litigation Leaders: Cohen Ziffer Chair Talks the Advantages of Being on the Policyholder Side of the Insurance Recovery Practice

In February 2022, a Delaware jury found that Conduent allegedly tried to defraud AIG into covering part of its Medicaid fraud-related settlement.
12 minute read
Law Journal Press | Digital Book Wrongful Use of Civil Proceedings and Related Torts in Pennsylvania, Second Edition Authors: George Bochetto, David P. Heim, John A. O’Connell, Robert S. Tintner View this Book

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August 09, 2023 | Connecticut Law Tribune

$470K Settlement: Optimus Health Care Was Accused of Fraudulent Billing

"Optimus Health Care repeatedly overbilled Connecticut's Medicaid program, taking in payments they were ineligible to receive," Attorney General William Tong said.
2 minute read
May 04, 2023 | New Jersey Law Journal

$91M Award: Plaintiffs Win on Claims That UnitedHealthcare Stiffed Medical Providers

"There are instances where physicians are being choked out because these insurance companies have such economic power. They do what they want," Epstein Becker's Anthony Argiropoulos said.
5 minute read
May 01, 2023 | Connecticut Law Tribune

Health Insurers Face ERISA Lawsuit for Allegedly Reversing an Approved Claim

The complaint alleged that a United Healthcare representative encouraged the plaintiffs not to file a lawsuit.
2 minute read
December 30, 2022 | Daily Business Review

'They've Done Every Trick in the Book': Providers File Class Action Against Health Insurers

"Our strategy is to send a message to other insurance companies that they have an obligation to pay under those statutes," said Steven Adler, a partner at Mandelbaum Barrett.
4 minute read
December 06, 2022 | Daily Business Review

Broward Lawyer Beats United Healthcare Again, With at Least 3 Trials Set for 2023

"This ruling sends a strong message that doctors should be treated fairly, and it is time for insurance companies to pay up," said Justin C. Fineberg, a partner at Lash & Goldberg.
3 minute read

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