Aetna Agrees to Pay $117.7 Million to Resolve False Claims Act Allegations
Aetna Inc., one of the largest health insurers in the United States, has agreed to pay $117.7 million to resolve allegations that it submitted false or inaccurate diagnosis codes for its Medicare Advantage plan members. The improper coding was intended to inflate Medicare payments by making enrollees appear sicker and thus more costly to cover. This settlement follows claims brought under the False Claims Act, which seeks to protect government funds from fraudulent billing. Medicare Advantage plans, like those offered by Aetna, receive monthly payments adjusted by risk scores that reflect beneficiaries’ health conditions. By submitting inaccurate codes, Aetna allegedly... [Continue Reading]
360LiveNews | 11 Mar 2026 16:03
