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When Healthcare Fraud Gets Personal

You may remember last year Tenet Healthcare settling federal fraud charges related to Medicaid maternity claims at 2 hospitals. The agreement included a $513 settlement, an admission of guilt from the 2, and a non-prosecution agreement as long as the provider cooperated with ongoing investigations.

But you may not have seen the latest—the January indictment of a former Tenet senior vice president who was implicated in the scheme. John Holland could face up to 50 years in prison if convicted of federal charges of using bribery and kickbacks to steer Medicaid business to Tenet hospitals. Holland pleaded not guilty.

In a statement, Holland’s attorney denied the charges, saying the contracts in question were more than 10 years old, had been reviewed by multiple levels of the company, and that Holland didn’t benefit personally from the fraud. The feds filed forfeiture notices against 2 homes the former Tenet executive owns.

Going after individuals following corporate fraud investigations has been anticipated since a 2015 Department of Justice directive to focus more on individuals. The indictment of Holland follows a similar action against an Oklahoma official accused of taking kickbacks in exchange for giving out lucrative ambulance services contracts, according to an article in Bloomberg BNA’s Health Care Daily Report.

To read the full article, visit AJMC.com.