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.

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 ...

I think this will definitely result in some additional actions being brought that would not have otherwise been brought," Dan ...

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 ...

Chattanooga, Tenn.-based Erlanger Health System must defend against two False Claims Act lawsuits after a federal judge denied the system’s bids to dismiss the cases. Here are 10 things to know: 1.

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 ...

The U.S. Department of Justice touted a record $6.8 billion in False Claims Act (FCA) recoveries in fiscal year 2025, much of that total stems from prior years' cases and does not necessarily reflect ...

Judgements and settlements under the False Claims Act topped $6.8 billion in the last fiscal year, according to new data from the Department of Justice (DOJ). DOJ said in an announcement last week ...

In remarks delivered on January 28, 2026, at the American Conference Institute’s Advanced Forum on False Claims and Qui Tam Enforcement, Deputy Assistant Attorney General Brenna Jenny highlighted the ...

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

As recently reported by the Department of Justice (“DOJ”), settlements and judgments under the Civil False Claims Act (“FCA”) exceeded $6.8 billion for fiscal year 2025, the highest number in a single ...

Advocates say Pennsylvania could collect millions from Medicaid fraud cases under a proposed law, but critics fear a surge of costly lawsuits.