Inactive Case

United States ex rel. Cutler v. Cigna Corporation et al.

Docket No.
3:21-cv-00748
District Court
Tennessee Middle

Goal

  • Award damages
  • Block defendant action

Issues

Why This Matters:

Why This Matters:

The Department of Justice joined a whistleblower lawsuit against a Medicare Advantage organization, alleging that the organization and its subsidiaries submitted inaccurate, incomplete, unsupported, or otherwise false diagnosis codes for Medicare Advantage enrollees. The whistleblower and Department of Justice allege that the health system submitted this false information – also known as upcoding – to improperly obtain millions of dollars in overpayments from the Medicare program.

Potential Impact:

Potential Impact:

In 2023, the parties entered into a settlement where the Medicare Advantage organization and its subsidiaries agreed to pay more than $172 million to resolve these allegations and to implement other corrective measures. Ensuring accurate compensation for Medicare Advantage organizations prevents fraud, protects taxpayer dollars, and keeps health care costs low for patients.

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Related Litigation

Current Status

Case Dismissed

Legal Issues

False Claims Act

Date Filed
October 2, 2017
Case Type
Civil
Court Type
District Court
Court
Tennessee Middle
Court Division
Nashville
Judge
Richardson, Eli J. Appointed By: Donald Trump
Plaintiff(s)
Robert A. Cutler
Lead Counsel For Plaintiff(s)
Constantine Cannon LLP
Intervenor Plaintiff(s)
United States
Defendant(s)
Cigna Corporation; Cigna Holdings, Inc.; Connecticut General Corp.; HealthSpring, Inc.; New Quest, LLC; HealthSpring Life and Health Insurance Company, Inc.; Gulf Quest LP; Home Physicians Management LLC; Alegis Care Services, LLC
Lead Counsel for Defendant(s)
Wilmer Cutler Pickering Hale and Dorr LLP