As reported in earlier blogs, the federal Department of Justice (DOJ) has been actively looking into potential abuses by Medicare Advantage (MA) Organizations as to allegedly improper risk adjustment claims submissions and...more
5/26/2017
/ Aetna ,
Centers for Medicare & Medicaid Services (CMS) ,
CIGNA ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Government Investigations ,
Health Insurance ,
Health Net ,
Healthcare Fraud ,
Humana ,
Medicare Advantage ,
Qui Tam ,
Risk Adjustment Formula ,
UnitedHealth
WHO IS AT RISK -
The federal government has indicated that it is still investigating, and could ultimately join a false claims whistleblower qui tam action against Aetna, Inc., Humana, Inc., Cigna, Inc. (through its Bravo...more