The U.S. has intervened and filed a complaint in a lawsuit against an insurer that alleges it obtained inflated risk adjustment payments based on untruthful and inaccurate information about the health status of beneficiaries enrolled in a Medicare Advantage Plan. This is the government’s first-ever False Claims Act (FCA) complaint in a whistleblower-led suit alleging Medicare Advantage fraud, kicking off a key test for a new realm of FCA litigation. The government’s intervention illustrates their emphasis on combating health care fraud. Read more here.
Last Updated on May 13, 2020 by Aimed Alliance
