NY nursing home to pay up to $8.6M, make major reforms to resolve criminal fraud charges
By
Josh Henreckson
Mar 05, 2024
A settlement with the New York Attorney General’s office will require a Long Island nursing home to pay up to $8.6 million in Medicare and Medicaid restitution and funding for state-mandated changes...
Updated: Philip Esformes reaches plea deal on remaining charges in $1.3B fraud case
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the disgraced nursing home and assisted living community owner charged in a record $1.3 billion healthcare fraud case in 2016, has reached a plea deal with prosecutors on outstanding charges...
Supreme Court declines to hear appeal from former nursing home mogul Esformes
By
Josh Henreckson
Dec 12, 2023
The US Supreme court has rejected the appeal of Phillip Esformes, clearing the path for his continued prosecution on six counts related to a massive nursing home fraud scheme.
Court upholds $1.3 billion Esformes nursing home fraud verdict, $44 million penalties
By
James M. Berklan
Jan 09, 2023
Convicted former nursing home chain operator Philip Esformes had his prison sentence commuted by then-President Trump in 2020, but a federal appeals court ruled Fridhe will still be liable for $44 million...
State lawsuit targets nursing home owner Lahasky’s use of related parties, seeks repayment of $18 million-plus
By
Kimberly Marselas
Joe Bush
Dec 01, 2022
New York’s top prosecutor this week filed suit against a nursing home owner with a growing empire, accusing him and several co-owners of defrauding the government of more than $18 million while understaffing...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
SNF owner led record $1 billion Medicare fraud ring, authorities say
By
James M. Berklan
Jul 25, 2016
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
Tales you might never expect from the frontlines of fraud
By
Apr 26, 2016
The healthcare world currently ranks as the fourth most victimized industry when it comes to fraud, falling prey to roughly 6.6% of all fraud incidents. In the long-term care sector, experts recently shared,...
Lawmakers call for public disclosure of Medicare payments, ask for input on post-acute reforms
By
McKnight's Staff
Jun 20, 2013
The battle against Medicare waste, fraud and abuse heated up on Capitol Hill this week. Lawmakers introduced a bill to make Medicare claims and payments publicly available and asked for provider input...