The insurance arm of CVS Health, Aetna, has agreed to pay $117. 7 million to settle federal claims that it misrepresented patient diagnoses on Medicare Advantage plans. The lawsuit alleged that from 2018 to 2023, Aetna filed false diagnosis codes for morbid obesity and other conditions. These
A small medical supply shop in Austin is at the center of a federal complaint that says it billed Medicare for unnecessary urinary catheters. Investigators say the company, linked to a Russian citizen living in Texas, is part of a scheme that moved millions of dollars overseas. The complaint n
Kaiser Permanente, a well-known health organization, has agreed to pay a massive $556 million to settle accusations of overcharging Medicare. This settlement involves two lawsuits that were filed over a decade ago, claiming that Kaiser exaggerated the health conditions of its patients to get more mo
In a significant move, authorities have recently taken down a huge health care fraud operation. Over 320 people were charged, and nearly $15 billion in false claims were uncovered. This is the biggest crackdown of its kind in history. The operation was a joint effort between state and federal prose
