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Story perspectives

CVS Health Hit with $289.9M Judgment for Medicare Fraud

8/21/2025

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Story summary
  • A federal judge ordered CVS Health's Caremark to pay $289.9 million for Medicare overcharges due to profit-driven fraud.
  • The ruling stemmed from a whistleblower lawsuit by Sarah Behnke, uncovering inflated claims since 2010.
  • CVS intends to appeal the decision, which includes a $4.87 million civil fine.
  • Additionally, CVS faces a $949 million judgment for fraudulent billing practices by Omnicare.