United States: Healthcare

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Aetna Pays $117.7 Million As Government Intensifies Medicare Advantage Scrutiny
This month, Aetna Inc. (Aetna) entered into two settlement agreements with the U.S. Department of Justice (DOJ) and the U.S. Department of Health and Human Services, Office of Inspector General (OIG) in which it agreed to pay $117.7 million to resolve False Claims Act (FCA) allegations related to Medicare Advantage (MA) risk adjustment activities. The government alleged that Aetna submitted or failed to delete inaccurate diagnosis codes for enrollees in its MA plan to increase its Medicare payments
United States Criminal
AP
Arnold & Porter
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