Aetna was accused of submitting false patient diagnosis data for its Medicare Advantage Plan enrollees in order to get higher monthly payments from the Centers for Medicare and Medicaid Services.

Aetna, the second-biggest Medicare Advantage company in the Philadelphia area, has agreed to pay $117.7 million to settle claims of false billing, the U.S. Attorney’s Office in Philadelphia announced ...

By Jonathan Stempel NEW YORK, March 11 (Reuters) - Aetna, a unit of CVS Health, agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting inaccurate ...

Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to ...

A Sarasota lab agreed to pay $980,000 to settle federal allegations of illegal kickbacks and false Medicare billing, ...

Terry Gerton We’re going to talk about False Claims Act. The Department of Justice announced that 2025 was a record-breaking year for them, $6.8 billion in recoveries and almost 1,300 cases. What is ...

Oakland, Calif.-based Kaiser Permanente is suing nine liability insurers for breach of contract, alleging they have refused to cover any portion of its $556 million settlement with the federal ...

The Department of Justice is preparing to investigate a growing number of False Claims Act cases involving skin substitutes, with more cases expected, according to a Feb. 6 blog post from law firm ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Adva ...

Healthcare fraud continues to plague providers, managed care, and drug companies. $5.7 billion of the $6.8 billion recovered by DOJ was generated from the healthcare industry. There is a bottomless ...

A long-term care therapy provider has agreed to pay $315,000 to resolve allegations of causing the submission of false claims to Medicare at nursing facilities in Massachusetts.

Federal enforcement of the False Claims Act (FCA) against healthcare and pharmaceutical companies—especially based on alleged Anti-Kickback Statute (AKS) violations—continues to change, with the ...