US Justice Department Sues Top Health Insurers for False Claims

2025-05-01
US Justice Department Sues Top Health Insurers for False Claims
U.S. News & World Report

In a significant move, the US Justice Department has filed a complaint against three major health insurance companies, including Aetna Inc. and its affiliates, Elevance Health, and Humana, under the False Claims Act. This action also impacts three large insurance broker organizations: eHealth, GoHealth, and SelectQuote. The complaint alleges that these companies have engaged in fraudulent activities, resulting in false claims being submitted to the government. The False Claims Act is a federal law that prohibits companies from knowingly submitting false claims to the government for payment. This lawsuit highlights the importance of healthcare compliance and the need for insurance companies to adhere to strict regulations. The US healthcare system relies on transparency and accountability, and such actions help to prevent healthcare fraud and protect consumers. With the rising costs of healthcare, it is essential to ensure that insurance companies operate with integrity and comply with federal laws, including the Affordable Care Act and other healthcare regulations.

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