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INVESTOR ALERT: Cohen Milstein Investigates Claims Against GoHealth, Inc. (GOCO) on Behalf of Investors - GoHealth (NASDAQ:GOCO)

  • On May 1, 2024, the U.S. Department of Justice filed a lawsuit in Massachusetts accusing insurers Aetna, Elevance Health, and Humana of paying kickbacks to brokerages including GoHealth between 2016 and 2021.
  • The suit alleges the payments, often above $200 per enrollee and totaling hundreds of millions, aimed to steer Medicare beneficiaries into private Medicare Advantage plans, sometimes ignoring plan suitability and discouraging disabled enrollees.
  • Additional claims assert broker payments were disguised as marketing fees to evade commission caps, while consumer harm included unauthorized plan switches causing high out-of-pocket costs and discriminatory practices against disabled applicants under age 65.
  • EHealth and insurers denied the allegations and pledged to contest charges under the False Claims Act, while experts and advocacy groups stress these incentives distort Medicare Advantage enrollment and urge Congressional reform of broker pay structures.
  • The lawsuit may intensify debate over private sector roles in Medicare, possibly influencing future regulatory actions amid ongoing concerns about beneficiary protection and program costs compared to traditional Medicare.
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kffhealthnews.org broke the news in on Monday, May 19, 2025.
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