United States of America v. Sentara Healthcare et al.

Docket No.
3:23-mc-00007
District Court
Virginia Western

Goal

  • Enforce compliance with Civil Investigative Demands

Litigation Content

Why this Matters

The U.S. Department of Justice seeks a court order to enforce the alleged failure of a health insurance company to comply with requests for information in connection with an ongoing False Claims Act investigation related to certain rate filings for health plans available in Virginia through their Health Insurance Marketplace. False information submitted in connection with such rate filings could result in improper advance payments of the premium tax credit.

Potential Impact

The inability for the federal government to obtain information could jeopardize its ability to investigate insurance rate filings that could lead to higher premiums for consumers and improper payments by the federal government.