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Wednesday, March 11, 2026

2 months
CVS/Aetna to pay about $118M to resolve Medicare Advantage upcoding claims (10) hot


In Detail Full day, Wednesday, March 11, 2026, Timezone: America/Chicago

Aetna to pay $117.7M to settle Medicare Advantage upcoding allegations: DOJ

fiercehealthcare - Aetna has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments.

AI Summary: CVS Health (via its Aetna unit) agreed to a roughly $118 million settlement with the DOJ to resolve False Claims Act allegations that inaccurate diagnosis submissions inflated Medicare Advantage payments. The deal closes a chapter on federal scrutiny of coding practices and aims to avoid years more of litigation and bad headlines.

#healthcare #governmentpolicy #healthcarefinance

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Back to Top / Wednesday, March 11, 2026, 7:22 pm / permalink 20577 / 10 stories in 2 months /



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