Health Benefits Fraud Lawsuit

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FTC Action Against Benefytt Results in $100 Million in Refunds for

(9 days ago) Web“Benefytt pocketed millions selling sham insurance to seniors and other consumers looking for health coverage,” said Samuel Levine, Director of the FTC’s Bureau of Consumer Protection. “The company is being ordered to pay $100 million, and we’re …

https://www.ftc.gov/news-events/news/press-releases/2022/08/ftc-action-against-benefytt-results-100-million-refunds-consumers-tricked-sham-health-plans-charged

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FTC Sends Nearly $7 Million in Refunds to Consumers Harmed by …

(6 days ago) WebCHBA telemarketers allegedly pitched consumers with a long list of false claims about the benefits of the discount plans, including that the plans were as widely …

https://www.ftc.gov/news-events/news/press-releases/2023/11/ftc-sends-nearly-7-million-refunds-consumers-harmed-medical-discount-plans-sold-health-insurance

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WebThe New York Times. But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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Apria Healthcare Reaches $40M Settlement Over False Claims …

(2 days ago) WebOn January 20, 2021, Florida Attorney General Ashley Moody announced a $40 million settlement between the state’s Medicaid Fraud Control Unit (MFCU), the …

https://thenationaltriallawyers.org/article/apria-healthcare-reaches-a-40m-settlement-with-multiple-states-over-various-false-claims-statutes/

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Office of Public Affairs Sutter Health and Affiliates to Pay $90

(2 days ago) WebThe investigation and resolution of this matter illustrate the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is …

https://www.justice.gov/opa/pr/sutter-health-and-affiliates-pay-90-million-settle-false-claims-act-allegations-mischarging

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Health care fraud: DOJ recovers $1.8B in false claims cases in 2023

(5 days ago) WebThe health-care industry led the way as a record 543 False Claims Act settlements and judgments were reported in fiscal year 2023. More than $1.8 billion of …

https://www.benefitspro.com/2024/03/01/health-care-fraud-doj-recovers-1-8b-in-false-claims-cases-in-2023/

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Lawsuit against Centene claiming Obamacare marketplace fraud …

(4 days ago) WebMay 08, 2024 05:21 AM. A U.S. district court judge has ruled most of the claims in a sweeping RICO lawsuit against Centene can proceed. The suit, being heard in federal …

https://www.chicagobusiness.com/health-pulse/lawsuit-against-centene-claiming-obamacare-marketplace-fraud-proceeds

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Primary care giant Aledade facing a Medicare fraud whistleblower …

(1 days ago) WebRelated: Health care fraud: DOJ recovers $1.8B in false claims cases in 2023 "We recently learned that the federal government has declined to join the case U.S. …

https://www.benefitspro.com/2024/03/22/whistleblower-accuses-aledade-largest-us-independent-primary-care-network-of-medicare-fraud/

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More Medicare Advantage fraud? Aetna received $25.5M in …

(5 days ago) WebFor more information visit Asset & Logo Licensing. According to a HHS audit, medical records provided by the health insurer didn't support certain diagnosis codes, …

https://www.benefitspro.com/2023/10/11/more-medicare-advantage-fraud-aetna-received-25-5m-in-overpayments-says-hhs/

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Lawsuit alleges ACA plan-switching scheme - Health News Florida

(Just Now) WebA wide-ranging lawsuit filed this past week outlines a moneymaking scheme with Broward County ties by which large insurance sales agency call centers enrolled …

https://health.wusf.usf.edu/health-news-florida/2024-04-17/lawsuit-alleges-aca-plan-switching-scheme-targeted-low-income-consumers

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CLASS ACTION and WINN INSURANCE AGENCY, LLC, v.

(5 days ago) Web6. TrueCoverage, Enhance Health and their downlines sometimes go even farther, by “Twisting” the consumer’s existing policy. Twisting is a form of insurance …

https://kffhealthnews.org/wp-content/uploads/sites/2/2024/04/2024-04-12-Complaint.pdf

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Sutter Health settles Medicare overcharge claims for $90 million

(2 days ago) WebResolves 2015 whistleblower suit alleging Sutter used unsupported diagnosis codes. (Reuters) - California-based hospital operator Sutter Health has agreed to pay …

https://www.reuters.com/legal/litigation/sutter-health-settles-medicare-overcharge-claims-90-million-2021-08-31/

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This Firm Settled a Federal Fraud Suit—Then Got a $45 Million …

(Just Now) WebTenet Healthcare and Community Health Systems (CHS), behemoth companies that own more than 150 hospitals nationwide, paid more than $605 million …

https://time.com/5859704/fraud-settlement-bailout/

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U.S. Opens UnitedHealth Antitrust Probe - WSJ

(6 days ago) WebThe Justice Department has launched an antitrust investigation into UnitedHealth, owner of the biggest U.S. health insurer, a leading manager of drug …

https://www.wsj.com/health/healthcare/u-s-launches-antitrust-investigation-of-healthcare-giant-unitedhealth-ff5a00d2

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Employer J&J Sued for Breach of Fiduciary Duties and …

(Just Now) WebThis lawsuit is an example of the recent uptick in impending lawsuits regarding compliance with recent transparency rules, reinforcing the need for ERISA …

https://global.lockton.com/us/en/news-insights/employer-j-and-j-sued-for-breach-of-fiduciary-duties-and-mismanagement-of

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Cigna to pay $172M and $37M to settle 2 Medicare Advantage …

(1 days ago) WebCIGNA headquarters. The Cigna Group has settled two lawsuits alleging Medicare Advantage fraud. The company will pay $172 million in a case brought by a …

https://www.benefitspro.com/2023/10/03/cigna-to-pay-172m-and-37m-to-settle-2-medicare-advantage-fraud-lawsuits/

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UnitedHealth faces securities fraud lawsuit over undisclosed …

(3 days ago) WebUnitedHealth Group Inc. is facing a proposed securities fraud class-action lawsuit alleging the company failed to disclose a Justice Department antitrust …

https://www.businessinsurance.com/article/20240517/STORY/912364546/UnitedHealth-faces-securities-fraud-lawsuit-over-undisclosed-antitrust-probe

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Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low …

(8 days ago) WebThe effort targeted people with low enough incomes to qualify for large subsidies that fully offset the monthly cost of their premium, the lawsuit alleges. The …

https://kffhealthnews.org/news/article/federal-lawsuit-unauthorized-aca-obamacare-plan-enrollment-switching/

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$150M lawsuit targets misleading ACA insurance policies

(6 days ago) WebA federal court in Fort Lauderdale certified a nationwide class-action lawsuit seeking damages of about $150 million against two health insurance technology …

https://www.benefitspro.com/2021/02/09/class-certified-in-150m-lawsuit-over-obamacare-insurance-policies-412-111313/

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United Healthcare Wins $128 Million in Lab Fraud Billing Lawsuit

(1 days ago) WebSanctions for spoiling evidence determined case outcome. United Healthcare Services Inc. won a $128 million default judgment in its lawsuit accusing a group of …

https://news.bloomberglaw.com/employee-benefits/united-healthcare-wins-128-million-in-lab-fraud-billing-lawsuit

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