Physician Chambless Johnston and his practice, East Tennessee Recovery, agreed to pay $530,000 to resolve allegations that the practice violated the False Claims Act. Authorities said the defendants billed Medicare and Medicaid programs for individual and group psychotherapy performed by unsupervised or unlicensed providers, among other violations.
Nashville, Tenn., resident Karen Briggs was arrested and charged with TennCare fraud and theft of services. Authorities said Briggs gave false information regarding her marital status and the income of her husband in order to obtain TennCare benefits for herself and her child, resulting to the health care program paying about $26,000 in fees and claims on their behalf.
The FDA issued a final rule allowing states, pharmacies and wholesalers to import certain prescription drugs from Canada and other countries. Drugs eligible for importation "would undergo testing for authenticity and degradation and to ensure the drugs meet established specifications and standards, after which they would be re-labeled with FDA-approved labeling," HHS Chief of Staff Brian Harrison said.
Joseph Wiley from Louisiana was sentenced to three years in prison and two of probation and was ordered to forfeit $300,000 and pay $500,000 in fines after pleading guilty to conspiracy to commit health care fraud. Authorities said Wiley helped Mississippi-based pharmacies to submit fraudulent claims to government health care programs through his business, Affordable Medication Solutions, which resulted in medical insurers paying over $510 million.
Misael Reyes-Tajimaroa, a former resident of Washington and Nevada, was sentenced to 60 months in prison plus three years of supervised release and was ordered to pay $500,000 in restitution after pleading guilty to multiple charges. Authorities said Reyes-Tajimaroa engaged in a fake accident scheme that defrauded insurance companies out of about $4.7 million through fraudulent bodily injury claims.
With the economy in an uncertain state, 42% of employees say they are worried about the impact that using child care benefits would have on their employment, according to a report from Catalyst. However, many companies are stepping up to provide benefits, and employees can take certain steps to mitigate their concerns.
A Bank of America survey found 62% of employers feel extremely responsible for workers' financial wellness, up from 13% in 2013. Survey data showed 80% of employers feel extremely responsible for helping employees prepare for health care costs and needs during retirement, and 78% feel responsible for helping workers with retirement income.
Adults with a repaired ventricular septal defect, or hole in the heart, had 29% lower exercise capacity after age 40, compared with healthy adults, while those with an unrepaired defect had a 21% lower capacity, according to a study published in the Journal of the American Heart Association. Patients in their mid-20s with a repaired defect had 18% less exercise capacity, compared with healthy counterparts, while those with an unrepaired defect had 17% reduced exercise capacity.
A meta-analysis in JAMA Pediatrics found that children and teens had lower odds of becoming infected with the novel coronavirus than adults 20 and older, and the reduction in risk was more pronounced in younger children. The study, based on 32 studies involving about 42,000 youths and 269,000 adults, found that children younger than 12 had 59% lower risk than adults of becoming infected after being exposed by someone in the home.
New data published in the journal PLOS One found that patients 40 and older whose levels of vitamin D were sufficient were were 51.5% less likely to die of the disease. The study followed 235 hospitalized COVID-19, and it also found patients with vitamin D levels of at least 30 nanograms per milliliter also had lower risk of losing consciousness and having low blood oxygen levels.