The case, originally filed by a whistleblower in 2021, alleges that MAOs paid agents and brokers illegal kickbacks to drive ...

Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...

Humana used algorithm in ‘fraudulent scheme’ to deny care to Medicare Advantage patients, lawsuit alleges By Casey Ross and Bob Herman Dec. 12, 2023 Reprints ...

The DOJ’s main contention with Humana’s lawsuit is that Humana has not been hurt under the new Medicare Advantage audit regulations because those audits haven’t been rolled out yet, and won ...

Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims The insurer is the latest to be hit with a suit over its use of algorithms to appraise claims. Published Dec. 13, 2023 ...

Humana is suing the HHS in a bid to reverse a precipitous drop in its valuable Medicare Advantage star ratings that could cause the payer to lose out on billions of dollars in revenue. The lawsuit ...

The lawsuit, filed by Phillips & Cohen LLP on behalf of whistleblower Steven Scott, alleges Humana submitted fraudulent bids to the Centers for Medicare & Medicaid Services for "lucrative Medicare ...

The lawsuit, filed in the US District Court in western Kentucky, is led by two people who had a Humana Medicare Advantage Plan policy and said they were wrongfully denied needed and covered care ...

Updated: April 17 at 3:25 p.m. ET | The Centers for Medicare & Medicaid Services denied an appeal from Humana over its star ratings scores, with the lawsuit's outcome yet to be determined.

Last week, Humana Inc HUM agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips & Cohen ...

Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...