US EditionDOJ sues the nation’s largest health insurers' alleging ‘unlawful kickbacks’
- The U.S. Department of Justice filed a lawsuit on Thursday accusing major health insurers and brokers of paying illegal kickbacks from 2016 to 2021 to boost Medicare Advantage enrollment.
- The suit followed a whistleblower complaint alleging that insurers Aetna and Humana conspired with brokers to steer beneficiaries toward plans offering the highest kickbacks regardless of their needs.
- The complaint names Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, and alleges these companies paid brokers hundreds of millions while pressuring them to enroll fewer disabled beneficiaries.
- Federal officials warned that businesses held responsible may be required to pay damages amounting to three times the government’s losses, along with additional civil fines; Deputy Assistant Attorney General Granston emphasized that healthcare firms engaging in illegal activities will be held accountable.
- The lawsuit signals intensified enforcement against Medicare Advantage fraud and aims to protect vulnerable beneficiaries while potentially leading to significant financial penalties.
21 Articles
21 Articles
Medicare Advantage bribery scheme highlights 'bad behavior' Trump wants to reward
Healthcare advocates have long condemned the for-profit insurance companies that manage Medicare Advantage plans for overbilling the federal government by hundreds of billions of dollars per year, using artificial intelligence and algorithms to deny patients' claims, and tricking patients with disabilities via deceptive marketing practices—and a lawsuit originally initiated by a whistleblower is accusing three such private insurance giants of ta…
DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks
The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans. The post DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks appeared first on MedCity News.
Kickbacks and Betrayal: Top Insurers Accused of Exploiting Seniors in Medicare Advantage Scandal
Health insurance giants Aetna, Elevance (formerly Anthem), and Humana — along with three major broker firms — are facing a federal lawsuit accusing them of funneling illegal kickbacks to boost Medicare Advantage enrollments, all while steering vulnerable seniors into unsuitable […]
The Epoch Times
Zero HedgeUS Files False-Claim Complaint Against Health Insurance Companies, Brokers
The Department of Justice filed a complaint under the False Claims Act on May 1 against three health insurance companies and three large insurance brokerage organizations, alleging that hundreds of millions of dollars in kickbacks were paid by the insurance companies to the brokers in exchange for enrollments into their Medicare Advantage plans. The insurer defendants are Aetna Inc., and its affiliates, Humana Inc., and Elevance Health Inc. (for…
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