Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
Tag: provider
Payor Agreements and Hidden False Claims Act and Criminal Traps
Hidden language in payor agreements can trigger False Claims Act liability and criminal risk—understand and avoid the traps.
Aetna Obtains $37 Million+ Judgment Against ASC Manager – Podcast
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
New Trigger of False Claims Act Liability
Certain Anti‑Kickback breaches can now automatically trigger False Claims Act liability, critical fact for healthcare leaders to know.
Aetna Obtains $37-plus Million Judgment Against ASC Manager
Aetna won a $37M+ judgment against an ASC manager, underscoring insurers’ tactics to secure network integrity and punish providers.
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians – Medical Group Minute
Not enough physicians? State plans to expand role of paraprofessionals.
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians – Podcast
Not enough physicians? State plans to expand role of paraprofessionals.
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians
Hardly anyone even yawned when the State of California announced that it was considering expanding the scope of paraprofessional practice because there weren’t enough physicians to go around.



