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Enforcement Briefing

Settlements, resolutions, corporate integrity agreements, and the control lessons that follow from them.

Latest published edition Nov 8, 2026Coverage Nov 1–7, 2026Editions 9

Choose an edition to read its leading stories, browse every article or open the complete report.

Latest published edition

November 8, 2026 edition

Coverage November 1–7, 2026, Pacific

16 articles and reminders2 high-priority findings

Leading stories

  • DOJ reports California physician Violetta Mailyan sentenced to 15 years in prison in Medicare Botox billing case
  • Adult day-care owner pleads guilty in $65 million Medicaid scheme
  • California lab and its owner agree to pay $1.25 million to resolve allegations of kickbacks to marketers

Published November 8, 2026 · Coverage November 1–7, 2026, Pacific. Later developments are labelled.

Coverage is incomplete for named official sources. Each complete report identifies the remaining limitations; absence of an item does not establish no activity.

Past editions

November 2026

Previous edition

November 4, 2026 edition

Coverage October 25–31, 2026, Pacific

9 articles and reminders3 context and horizon itemsCoverage note ↓

Inside this edition

  • DOJ announcements, administrative enrollment decisions and the Kentucky communication agreement.
  • Allegations, adjudicated findings and dated agreement-index observations are distinguished.

Published November 4, 2026 · Coverage October 25–31, 2026, Pacific. Later developments are labelled.

October 2026

Archived edition

October 18, 2026 edition

Coverage Oct 11, 2026 to Oct 17, 2026

19 articles0 high-priority findingsCoverage note ↓

Leading stories

  • Psychiatrist receives prison sentence for signing unsupported DME orders
  • DME nominee owner admits laundering Medicare fraud proceeds
  • CVS settles controlled-substance and false-claims allegations for $315 million plus interest

Published October 18, 2026 · Listed sources reviewed through Oct 17, 2026

Archived editionCorrected · Version 4

October 11, 2026 edition

Coverage Oct 4, 2026 to Oct 10, 2026

67 articles9 high-priority findingsCoverage note ↓

Inside this edition

  • AIDS Healthcare Foundation settlement highlights delayed diagnosis deletions
  • NYU and UPMC agree to end specified pediatric services and pay $9.45 million to resolve federal investigations

Published October 11, 2026 · Listed sources reviewed through Oct 10, 2026

Archived editionCorrected · Version 2

October 4, 2026 edition

Coverage Sep 27, 2026 to Oct 3, 2026

56 articles8 high-priority findingsCoverage note ↓

Inside this edition

  • Independence Blue Cross settles MA diagnosis-retention allegations for $22.5 million
  • Signal Diagnostics resolves uninsured-program overpayment allegations for $20.5 million

Published October 4, 2026 · Listed sources reviewed through Oct 3, 2026

September 2026

Archived editionCorrected · Version 2

September 27, 2026 edition

Coverage Sep 20, 2026 to Sep 26, 2026

27 articles4 high-priority findingsCoverage note ↓

Inside this edition

  • Skilled-nursing company and executives agree to pay $1 million to resolve therapy overbilling allegations
  • NYU and UPMC agree to end specified pediatric services and pay $9.45 million to resolve federal investigations

Published September 27, 2026 · Listed sources reviewed through Sep 26, 2026

Archived editionCorrected · Version 2

September 20, 2026 edition

Coverage Sep 13, 2026 to Sep 19, 2026

23 articles4 high-priority findings

Inside this edition

  • NYU and UPMC agree to end specified pediatric services and pay $9.45 million to resolve federal investigations
  • Abbott agrees to pay about $385 million over alleged WIC and Medicaid product-quality misrepresentations

Published September 20, 2026 · Reviewed through Sep 19, 2026

Archived editionCorrected · Version 2

September 6, 2026 edition

Coverage Aug 30, 2026 to Sep 5, 2026

18 articles1 high-priority finding

Inside this edition

  • The Villages Health System agrees to a $541.5 million settlement over invalid Medicare Advantage diagnosis codes after self disclosing
  • Florida DME operators sentenced in $34.8 million brace fraud scheme

Published September 6, 2026 · Reviewed through Sep 5, 2026

August 2026

Archived editionCorrected · Version 2

August 30, 2026 edition

Coverage Aug 23, 2026 to Aug 29, 2026

8 articles1 high-priority finding

Inside this edition

  • The Villages Health System agrees to a $541.5 million settlement over invalid Medicare Advantage diagnosis codes after self disclosing
  • Monogram Health agrees to $2.4 million settlement over Medicare Advantage diagnosis codes

Published August 30, 2026 · Reviewed through Aug 29, 2026

Coverage notes

These limitations belong to the dated editions below. The complete report includes its coverage record.

November 4, 2026 edition: limited coverage

Limited coverage. Coverage is incomplete for named official sources. Each complete report identifies the remaining limitations; absence of an item does not establish no activity.

Read the complete report →
October 18, 2026 edition: limited coverage

Limited coverage. Coverage limitation for 2026-10-11 through 2026-10-17: California regulator source review (https://www.cdph.ca.gov/Programs/OPA/Pages/NR26-NewsReleases.aspx): Actual complete 2026 News MainContent index read at 2026-10-20T08:59:13.710Z at https://www.cdph.ca.gov/Programs/OPA/Pages/News-Releases-2026.aspx. The latest displayed release is September 18 and Page Last Updated is September 23, 2026. No October 11-17 row is displayed, but authoritative coverage through the required week is unproved. A complete read of this stale page does not establish complete current-week discovery or zero activity. Preserve the original NR26-NewsReleases.aspx failure and exact alternative URL. Missing requirement: an authoritative adequately current dated result/archive or supported limitation for October 11-17. No failed new request is invented. DHCS audit and program-integrity publications (https://www.dhcs.ca.gov/individuals/audits-and-investigations-auditsinvestigations/): Earlier actual mission/navigation and program-integrity material remain retained, without a dated October11-17 result inventory. Exact original source response at 2026-10-21T20:22:11.637Z is HTTP200, complete945-byte Incapsula unsuccessful-request iframe, not audit results. A new official alternative Medical Audits index request also returned a212-byte shell. A supported web reader exposes report-year rows, but report year, file metadata and audit period do not establish posting within October11-17. Preserve the dated publication/query hold and original observations; no zero activity, new human request or source completion is inferred. DHCS audit and investigation actions (https://www.dhcs.ca.gov/individuals/audits-and-investigations-auditsinvestigations/): Earlier actual mission/navigation and program-integrity material remain retained, without a dated October11-17 result inventory. Exact original source response at 2026-10-21T20:22:11.637Z is HTTP200, complete945-byte Incapsula unsuccessful-request iframe, not audit results. A new official alternative Medical Audits index request also returned a212-byte shell. A supported web reader exposes report-year rows, but report year, file metadata and audit period do not establish posting within October11-17. Preserve the dated publication/query hold and original observations; no zero activity, new human request or source completion is inferred. This edition contains supported selected findings; it does not establish complete activity for the named missing authorities or unresolved candidates.

Read the complete report →
October 11, 2026 edition: limited coverage

Limited coverage. Coverage limitation for 2026-10-04 through 2026-10-10: DMHC enforcement actions: The canonical enforcement form did not yield a date-filtered result set. Web access failed and the bounded direct request failed DNS. The official newsroom alternative did not establish dated window actions. DHCS audit and investigation actions: The canonical page yielded an undated program description, and the bounded direct request failed DNS. The official program-integrity alternative failed access and did not establish dated window actions. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.

Read the complete report →
October 4, 2026 edition: limited coverage

Limited coverage. Coverage limitation for 2026-09-27 through 2026-10-03: DHCS audit and investigation actions: The canonical DHCS action pages did not expose a complete dated action set. Two HTTP 200 responses contained an Incapsula JavaScript shell, and official descriptive alternatives supplied no bounded weekly records. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.

Read the complete report →
September 27, 2026 edition: limited coverage

Limited coverage. Coverage limitation for 2026-09-20 through 2026-09-26: DMHC enforcement actions: The date-filtered official enforcement search remains blocked. The official alternative CSV ends May 22, 2026 and cannot establish September 20-26 activity. DHCS audit and investigation actions: Direct canonical requests return a browser challenge. Readable official A&I and sanctions descriptions do not establish a complete dated September 20-26 action list. This edition reports verified findings from the listed sources; it does not establish complete activity for these authorities.

Read the complete report →

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