United States ex rel. Shea v. eHealth Inc. et al.

Docket No.
1:21-cv-11777
District Court
Massachusetts

Goal

  • Award damages
  • Order payment of civil penalties

Issues

Why This Matters:

Why this Matters:

The 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:

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 (2)

58 Major Filings

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Current Status

Briefing is ongoing

Legal Issues

False Claims Act

Topic(s)

Enrollment Practices

Date Filed
November 2, 2021
Case Type
Civil
Court Type
District Court
Court
Massachusetts
Judge
Casper, Denise J. Appointed By: Barack Obama
Plaintiff(s)
United States ex rel. Andrew Shea
Lead Counsel For Plaintiff(s)
Gregg Shapiro Law LLC
Intervenor Plaintiff(s)
United States
Defendant(s)
eHealth Inc.; eHealthInsurance Services Inc.; Aetna Life Insurance Company; Humana Inc.; WellCare Health Plans Inc.; Elevance Health Inc.; GoHealth Inc.; SelectQuote Inc.
Lead Counsel for Defendant(s)
McDermott Will & Schulte