Compliance & Ethics

The Justice Department says Complete Health Partners Holdings crossed the line between documenting illness and manufacturing reimbursement. The Jacksonville, Florida-based management services organization has agreed to pay $14.1 million to resolve allegations that it caused false diagnosis codes to be submitted to inflate Medicare Advantage payments between 2020 and 2023. The settlement resolves claims brought under the False Claims Act and does not include an admission of liability.

The U.S. Securities and Exchange Commission has secured a default judgment against Adamant Stone Limited after alleging the purported investment adviser built its regulatory profile on claims it could not support.

For two years, according to federal prosecutors, the business model at Access DX Laboratory rested on finding more patients, ordering more genetic tests, and billing the government. The methods, the Justice Department alleges, included paying marketers for referrals, compensating telemedicine providers for fraudulent physician orders, breaking genetic tests into separately billable components, and sending Medicare and Medicaid the bill for testing that was not medically necessary. That alleged scheme has now produced a $36.4 million resolution.

Eight years after promising regulators it would fix persistent weaknesses in its anti-money laundering controls, UBS is paying for what those regulators say it failed to finish. Four regulators announced coordinated enforcement actions Monday imposing a combined $173 million in penalties against the firm, concluding that deficiencies identified years earlier continued to undermine transaction monitoring, customer due diligence, and suspicious activity reporting. The actions were brought by the Treasury Department's Financial Crimes Enforcement Network (FinCEN), the Securities and Exchange Commission, the Commodity Futures Trading Commission, and the Financial Industry Regulatory Authority.

In a 6-3 decision, the court ruled that President Donald Trump lawfully removed Federal Trade Commissioner Rebecca Kelly Slaughter in March 2025 without citing any statutory cause, overturning the core holding of Humphrey's Executor v. United States, the 1935 decision that had long shielded members of independent commissions from at-will dismissal. The ruling dramatically expands presidential authority over agencies that Congress intentionally designed to operate with a degree of independence from the White House.

The Australian Energy Regulator spent much of the past year following the money. It traced overcharges to Centrepay customers, questioned whether vulnerable households had been properly protected, examined how retailers treated customers struggling to pay their bills, and looked closely at what happened when obligations designed to shield people from harm became little more than words on paper.

When Microsoft folded Copilot into its Microsoft 365 subscriptions last year, the change arrived quietly enough. Existing customers on Personal and Family plans suddenly found themselves with new AI features at no extra cost for the remainder of their subscriptions. The real decision came later, when renewal notices began arriving and the free addition became a more expensive default.