Justice News

Justice News

May 16, 2017

Press Release
... Inc. (UHG) that alleges UHG knowingly obtained inflated risk adjustment payments based on untruthful and inaccurate ... throughout the United States. receives a monthly “risk adjustment” payment from Medicare for each enrolled ...

April 12, 2019

Press Release
... The adjustments are commonly referred to as “risk scores.”  In general, a beneficiary with more severe diagnoses will have a higher risk score, and CMS will make a larger risk-adjusted payment to the MA Plan for that beneficiary. ...

September 14, 2021

Press Release
... or providers that report unsupported diagnoses to inflate risk adjustment payments.” “The defendants are alleged to have ... are made using what are commonly referred to as “risk scores.” In general, a beneficiary with more severe ...

May 2, 2017

Press Release
... Group Inc. (UHG) that alleges UHG obtained inflated risk adjustment payments based on untruthful and inaccurate ... to UHG beneficiaries in California, to increase the risk adjustment payments received from the Medicare Program ...

December 11, 2018

Press Release
... The adjustments are commonly referred to as “risk scores.”  In general, a beneficiary with more severe diagnoses will have a higher risk score, and CMS will make a larger risk-adjusted payment to the MA Plan for that beneficiary. ...

July 30, 2021

Press Release
... The adjustments are commonly referred to as “risk scores.” In general, a beneficiary with more severe diagnoses will have a higher risk score, and CMS will make a larger risk-adjusted payment to the MA Plan for that beneficiary. ...

November 20, 2020

Press Release
... patients to avoid the Medicare Low Utilization Payment Adjustment that would have decreased the reimbursement ... medically unnecessary services places patients at risk and jeopardizes millions of taxpayer dollars,” said ... home health episode to avoid the Low Utilization Payment Adjustment which otherwise would have decreased Doctor’s ...

January 15, 2020

Press Release
... an initial assessment using the Justice Department’s risk and needs assessment tool known as the Prisoner Assessment Tool Targeting Estimated Risk and Need (PATTERN).  Initially released last July, the tool is designed to measure risk of recidivism of inmates. As of Jan. 15, 2020, inmates ...

May 31, 2012

Speech
... brokers to alter those prices without regard to borrower risk. This subjective and unguided discretion resulted in ... for many of the pricing adjustments not based on borrower risk and failed to adequately monitor for and fully remedy ...

June 12, 2009

Press Release
... on or near the hydrolyzers, which required frequent adjustment and replacement. As of October 2003, corporate ... seriously and companies that ignore these laws and risk their employees’ lives will be prosecuted." The ...

January 6, 2009

Press Release
... on or near the hydrolyzers, which required frequent adjustment and replacement. As of October 2003, corporate ... seriously and companies that ignore these laws and risk their employees’ lives will be prosecuted." The ...

January 28, 2019

December 21, 2011

Press Release
... or other objective criteria related to borrower risk.   The United States also alleges that Countrywide ... than non-Hispanic white borrowers, not based on borrower risk, but because of their race or national origin. ... unaffordable and leaving the borrowers at a much higher risk of foreclosure.   The settlement also resolves the ...

November 18, 2013

Speech
... a vital role in our country.  They spawn growth, spread risk, facilitate the creation of jobs, and generally drive ... financial system is so large, that even a small fraudulent adjustment of a rate or a fee can result in billions of ... Too many supervisors seem to incentivize excessive risk-taking – knowing that risky products can be unloaded ...

September 10, 2012

Press Release
... tax returns, hiding assets, and obstructing the IRS risk criminal prosecution resulting in conviction and ...

September 28, 2016

Press Release
... points, which was not based on the borrower’s credit risk. “Lending practices that discriminate against ...

September 27, 2018

Press Release
... attorney’s fee payments of $125 per hour (plus inflation adjustment), it is subject to enhancement based on special ... attorney’s fees, the Division must weigh the cost and risk of the prospect of “fees on fees” if it is not ...

April 26, 2018

Speech
... of the antitrust laws, we have a duty to ensure that the risk of a failed remedy—and thus harm to consumers—falls ... lessen competition. Congress recognized that a risk of harm is what renders a transaction unlawful—or, as ... probability” of anticompetitive effects. Where such a risk exists, the role of enforcers or a court should be to ...

February 3, 2015

January 28, 2021

Press Release
... individuals or entities, citing the “significant risk” that any such sale could be an “attempt to ...

September 29, 2016

Press Release
... cannot repossess the cars of the brave men and women who risk their lives to defend our freedom without providing them ...

October 1, 2018

Press Release
... an average patient, Medicare payments to MA plans are “risk adjusted” to reflect, in significant part, the health ... that MAOs submit, in turn, to Medicare to obtain the risk-adjusted payments from CMS.  DaVita operated an MSO and ...

July 12, 2012

Press Release
... worthiness or other objective criteria related to borrower risk. “By reaching a settlement in this case, ... white wholesale borrowers, not based on borrower risk, but because of their race or national origin. Wells ... unaffordable and leaving the borrowers at a much higher risk of default or foreclosure. The department began its ...
Speech
... worthiness or other objective criteria related to borrower risk. What did this mean in reality? It meant that an ... were not based on any objective factors relating to credit risk. These fees amounted to a racial surtax. A Latino ... were subject to possible prepayment penalties, increased risk of credit problems, default, and foreclosure, and the ...

January 30, 2020

Press Release
... to public safety power shutoffs to mitigate wildfire risk. The proposed settlements, lodged in the U.S. District ...

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