DoJ Goes After Major Insurers Accused Of Medicare Advantage Fraud
Credit: Photo by Alexander Mils on Unsplash
May 2, 2025

The Department of Justice accused three of the nation's largest health insurers of paying hundreds of millions of dollars in kickbacks to brokers in exchange for steering patients into the insurers' Medicare Advantage plans. Shocker! Via Reuters:

In a complaint, opens new tab filed in Boston federal court on Thursday, DOJ alleged that CVS Health's Elevance Health and Humana engaged in a vast kickback scheme with insurance brokers eHealth GoHealth and SelectQuote from 2016 to 2021.

The lawsuit alleges the companies violated the False Claims Act, which prohibits submitting a false claim to the government for payment. The Justice Department is seeking unspecified damages and penalties.

CVS Health, Aetna's parent company, and Humana in separate statements said they would defend themselves vigorously. GoHealth said the Justice Department's case was "full of misrepresentations and inaccuracies."

Can you help us out?

For over 20 years we have been exposing Washington lies and untangling media deceit, but social media is limiting our ability to attract new readers. Please give a one-time or recurring donation, or buy a year's subscription for an ad-free experience. Thank you.

Discussion

We welcome relevant, respectful comments. Any comments that are sexist or in any other way deemed hateful by our staff will be deleted and constitute grounds for a ban from posting on the site. Please refer to our Terms of Service for information on our posting policy.
Mastodon