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Friday, September 04, 2020

Corruption in Arizona Healthcare > Hacienda Healthcare Hits The Headlines

Ex-CEO, ex-CFO for Hacienda HealthCare indicted for fraud; state is owed nearly $11M
timmons omalley

    PHOENIX (3TV/CBS5) -- A grand jury has indicted Hacienda HealthCare’s former CEO Bill Timmons and former CFO Joseph O’Malley on several felony charges of fraud and racketeering after the facility allegedly overbilled the state millions of dollars between 2013 and 2018.
      The investigation found that Hacienda improperly allocated costs, inflated reported expenses, and engaged in improper billing from 2013 to 2018, resulting in an overpayment of at least $10,895,648.25 to Hacienda from the Arizona Health Care Cost Containment System (AHCCCS.)
        > According to the AGO, during the contract term, Timmons and O’Malley regularly met and provided Hacienda’s board of directors with financial data regarding the entity’s performance, but not about how costs were allocated among affiliated programs and entities.
          > "Although the $12 million repayment and fine included in the civil settlement represent an extreme financial hardship for the company, we agreed to it voluntarily because it’s the right thing to do – and because it gives Hacienda a chance to move forward honorably," current Hacienda HealthCare CEO Perry Petrilli said in a statement Wednesday afternoon. (Scroll to the bottom of this story for Petrill's full statement.)
          Source > AZ Family
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    The former CEO and CFO of Hacidena HealthCare have been indicted for felony crimes tied to an alleged Medicare fraud scheme and the Arizona attorney general wants them held accountable.
    ___________________________________________________________________________________________________


    8 latest healthcare industry lawsuits, settlements
    Ayla Ellison (Twitter) - 17 hours ago

    From Dignity Health entering into a settlement in a wage-deduction lawsuit to New Hampshire hospitals suing over allegedly discriminatory Medicaid payment rates, here are the latest healthcare industry lawsuits and settlements making headlines. 
    1. Hospitals want redo in site-neutral payment caseThe American Hospital Association and dozens of individual hospitals filed a petition Aug. 31 asking a federal appeals court to rehear a case challenging HHS' site-neutral payment policy that cuts Medicare payments for hospital outpatient visits. 
    2. New Hampshire hospitals allege CMS approved discriminatory Medicaid ratesThree New Hampshire hospitals are suing CMS and the state of Vermont over the Medicaid rates Vermont pays to out-of-state hospitals.
    3. Dignity Health strikes $950K settlement in wage-deduction suitA federal judge in Nevada approved a $950,000 settlement that resolves allegations that San Francisco-based Dignity Health improperly deducted wages from a group of healthcare workers.
    4. Former Hacienda HealthCare CEO, CFO face felony chargesPhoenix-based Hacienda HealthCare has entered into an $11 million civil settlement with the Arizona attorney general's office, and two of the company's former executives have been indicted in an elaborate fraud case.

    at September 04, 2020
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