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Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers
- On May 1, 2025, the U.S. Department of Justice filed a lawsuit in Massachusetts accusing Aetna, Elevance Health, and Humana of paying kickbacks to brokerages from 2016 to 2021.
- The lawsuit alleges these payments, described as marketing or sponsorship fees, incentivized brokers to steer Medicare beneficiaries toward Medicare Advantage plans, discouraging enrollment of costlier disabled patients.
- Internal emails cited show Anthem paid GoHealth over $230 million for hitting sales targets, while beneficiaries faced risks such as unwanted plan switches that increased treatment costs by $17,000.
- David Lipschutz highlighted that there are strong monetary motivations encouraging agents and brokers to promote Medicare Advantage plans, while Brian Connell described these motivations as problematic and called for congressional action to address them.
- The case is expected to intensify debate over private-sector Medicare roles, potentially prompting legislative changes amid concerns about plan suitability and consumer protection.
35 Articles
35 Articles
INVESTOR ALERT: Cohen Milstein Investigates Claims Against GoHealth, Inc. (GOCO) on Behalf of Investors - GoHealth (NASDAQ:GOCO)
WASHINGTON, May 20, 2025 (GLOBE NEWSWIRE) -- Cohen Milstein Sellers & Toll PLLC is investigating GoHealth, Inc. (NASDAQ:GOCO) and certain of its officers and/or directors for potential securities fraud or other securities violations following a complaint recently filed by the Department of Justice alleging unlawful business practices involving a Medicare Advantage kickback scheme. If you are an investor in GoHealth, Inc. and purchased shares of …
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Trump’s DOJ accuses Medicare Advantage insurers of paying ‘kickbacks’ for primo customers
When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage plans, they’re often offered assurances such as this one from eHealth: “Your benefit advisors will find plans that match your needs — no matter the carrier.”
AARP faces questions in its role promoting UnitedHealth’s Medicare Advantage plans
(The Center Square) – As UnitedHealth Group faces a criminal investigation by the U.S. Department of Justice alleging potential Medicare fraud, according to a Wall Street Journal report, some question
Alleged Unindicted Coconspirator in Kickback Scheme Can't Get Name Redacted from Court Opinion
From Judge Kevin Castel's opinion Friday in United States v. Da Costa (S.D.N.Y.): Non-party Leslie Nelson … moves to redact or anonymize all references to him contained in the government's memorandum of law in opposition to defendant's post-trial motions and the Court's Opinion and Order of February 14, 2025 [available here -EV] …. Nelson also seeks an Order requiring the parties to anonymize future references to him in public filings and to sea…
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