CVS to pay $118M to settle Medicare Advantage fraud allegations

CVS Health’s Aetna to Pay $117.7 Million to Resolve US Medicare Fraud Claims

Aetna Inc., a national insurer owned by CVS Health, has agreed to pay $117.7 million to settle a case alleging that it had violated the False Claims Act, swindling Medicare out of millions of dollars by submitting inflated or inaccurate diagnosis codes for its Medicare Advantage Plan recipients. According to a March 11 statement from the Department of Justice (DOJ), the Hartford, Connecticut-based insurer had been accused of inflating patient-di…

DOJ: Aetna to pay $117.7M for alleged fraudulent Medicare payments

(WTAJ) — On Wednesday, Aetna Inc. agreed to pay $117.7 million to resolve allegations that the insurance company gave inaccurate information to increase its payments from Medicare & Medicaid Services. A whistleblower, who is a former Aetna risk-adjustment coding auditor, is expected to receive roughly $2 million of the settlement. This announcement from the Department [...]

CVS to pay $118M to settle Medicare Advantage fraud allegations

The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data to the CMS.