- Docket No.
- 1:21-cv-11777
- District Court
- Massachusetts
Goal
- Obtain damages
- Require defendants to pay civil monetary penalties
Issues
Litigation Content
Why this Matters:
The U.S. Department of Justice joined a whistleblower case under the False Claims Act against leading health insurers and insurance broker organizations alleging illegal kickbacks associated with Medicare Advantage enrollment as well as discrimination against Medicare beneficiaries with disabilities. The rapid growth in Medicare Advantage enrollment in recent years has magnified attention to overpayments, abuse, and fraud.
Potential Impact:
Improper enrollment schemes and discrimination under the Medicare Advantage program could jeopardize patient access to care and prevent the federal government from ensuring that taxpayer funds are spent appropriately.
News And Analysis (1)
12 Major Filings
- MEMORANDUM IN SUPPORT OF MOTION TO DISMISS BY CVS HEALTH CORPORATION AND AETNA INC. (Aug 19, 2025)
- TPMO DEFENDANTS’ SUPPLEMENTAL MEMORANDUM OF LAW IN SUPPORT OF MOTION TO DISMISS THE GOVERNMENT’S COMPLAINT IN PARTIAL INTERVENTION (Aug 19, 2025)
- DEFENDANTS’ JOINT MOTION TO DISMISS THE GOVERNMENT’S COMPLAINT IN PARTIAL INTERVENTION (Aug 19, 2025)
- ELECTRONIC ORDER (Aug 15, 2025)
- ELECTRONIC NOTICE (Aug 15, 2025)
- ELECTRONIC ORDER (Aug 15, 2025)
- UNOPPOSED MOTION TO STAY ALL PROCEEDINGS CONCERNING RELATOR’S QUI TAM CLAIMS (Jul 30, 2025)
- DEFENDANT HUMANA INC.’S CORPORATE DISCLOSURE STATEMENT (Jul 11, 2025)
- COMPLAINT IN PARTIAL INTERVENTION OF THE UNITED STATES OF AMERICA (May 1, 2025)
- AMENDED COMPLAINT (Apr 29, 2025)
- NOTICE OF THE UNITED STATES OF ITS ELECTION TO INTERVENE IN PART, DECLINE TO INTERVENE IN PART, AND NOT INTERVENE AT THIS TIME IN PART (Jan 13, 2025)
- COMPLAINT (Nov 2, 2021)