By CITY NEWS SERVICE | via The Press-Enterprise

The owner of a southwest Riverside County drug and alcohol rehabilitation center, who filed fraudulent medical insurance claims that netted her more than $231,000 in ill-gotten gains, pleaded guilty Wednesday, July 5 to insurance fraud and was immediately sentenced to about nine months in county jail.

By SCOTT SCHWEBKE and TERI SFORZA | Orange County Register

The FBI, along with state and local officials, executed a sealed search warrant at several Sovereign Health locations on Tuesday, including the company’s offices in San Clemente.

By: caselaw.findlaw.com

Appellant Sanjiv Goel, M.D., Inc.1 appeals from a judgment following a court trial on his quantum meruit claim for fees for emergency treatment rendered to four patients as an interventional cardiologist. The trial court found that the fees paid by Respondent Regal Medical Group, Inc. (Regal) for this treatment reflected the reasonable value of the services that Goel provided.
The sole issue presented on appeal is whether the trial court employed the correct legal standard in determining the reasonable value of Goel's services. 

Self-titled “Rehab Mogul” Christopher Bathum will stand trial on charges of fraudulently billing companies $176 million, one of the largest criminal cases against an addiction facility in state history, a judge ruled Tuesday.

By Fred Schulte, Kaiser Health News

Two Florida Medicare Advantage insurers have agreed to pay nearly $32 million to settle a whistleblower lawsuit that alleged they exaggerated how sick patients were and took other steps to over-bill the government health plan for the elderly.

FRED SCHULTE, KAISER HEALTH NEWS- DOJ alleged that the insurer made patients appear sicker than they were to collect higher Medicare payments

By PATCH SOCAL (Patch Staff) - May 23, 2017

Cynthia Begazo was previously awarded $1.8 million by a jury for alleged retaliation after she reported workplace violations.

In the past 6 years, to balance the State budget, California has slashed spending for social services, health, education, state parks, state worker compensation, as well as prison and court programs. Additional tax revenues would have made a difference. 

Stampp Corbin, President of the Addiction Treatment Advocacy Coalition (“ATAC”), is known for his ability to crunch numbers. An in-depth analysis by Corbin reveals that at least $100 million a year in tax revenues has been lost to California since 2011 because health plans adopted a new national “pay-to- patient” policy for out-of- network providers.

Here is the article I just wrote for the latest edition of RecoveryView