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Aetna, Humana sued by feds over alleged Medicare kickback scheme

The Justice Department has accused three of the nation's largest health insurance companies of paying brokers hundreds of millions of dollars in exchange for piloting patients into insurance companies' Medicare Advantage Plans.

in Litigation The DOJ, filed in federal court in Boston, alleged that CVS Health's Aetna, Evelance Health and Humana were engaged in a vast kickback scheme with insurance brokers GoHealth and SelectQuote from 2016 to 2021.


CVS' Aetna and two others were accused of paying brokers hundreds of millions of dollars in kickbacks in exchange for running patients on insurance company Medicare Advantage Plan. Reuters

The Medicare Advantage Plan is provided by private insurers who are paid interest set by the US government to manage healthcare for seniors looking for additional benefits not covered by regular Medicare coverage.

Many Medicare beneficiaries rely on insurance brokers to select insurance plans that meet their needs and help them navigate the complexities of Medicare Advantage programs.


Medicare Handbook
The Medicare Advantage Plan is provided by private insurers who are paid interest set by the US government to manage healthcare for seniors looking for additional benefits not covered by regular Medicare coverage. AP

Rather than acting in a fair way in the best interests of patients, the Justice Department said the broker has directed Medicare beneficiaries towards plans provided by the insurance company that paid the most in kickback.

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