Civil Plaintiff
Aetna to Pay $117M to Resolve U.S. Claims it Defrauded Medicare
Health insurance company Aetna has agreed to pay over $117 million to Pennylvanians to resolve allegations that it violated the False Claims Act for profit, the Department of Justice said.
The DOJ says the insurance company has agreed to pay $117,700,000 for submitting or failing to withdraw inaccurate and false diagnosis codes for Medicare Advantage plan enrollees to increase its payments from Medicare.
According to the DOJ, Medicare beneficiaries can opt out and enroll in private health plans offered by Medicare Advantage Organizations (MAOs).
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