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DOJ Sues Aetna, Humana, Elevance for Medicare Fraud

5/29/2025

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Summary

Story summary

The U.S. DOJ filed a lawsuit against Aetna, Humana, and Elevance for alleged Medicare Advantage fraud from 2016 to 2021.
The lawsuit accuses these companies of paying brokers excessively while discouraging enrollment of disabled beneficiaries.
Medicare Advantage, covering half of Medicare enrollees, is set to receive $462 billion in 2024, emphasizing the importance of traditional Medicare support.

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Story summary

The U.S. DOJ filed a lawsuit against Aetna, Humana, and Elevance for alleged Medicare Advantage fraud from 2016 to 2021.
The lawsuit accuses these companies of paying brokers excessively while discouraging enrollment of disabled beneficiaries.
Medicare Advantage, covering half of Medicare enrollees, is set to receive $462 billion in 2024, emphasizing the importance of traditional Medicare support.