Major Insurers Are Scamming Billions from Medicare, Whistle-Blowers Say
Billing for illnesses that don’t exist, like prostate cancer in a woman.
Hasnain says:
The scale of fraud here is impressive. Examples include billing the government for a woman with prostate cancer (because they would just bill both people in a marriage for each condition…).
“In 2017, the Justice Department intervened in a case against UnitedHealth, the largest Medicare Advantage provider. It sued Anthem in 2020. A whistleblower suit against Cigna was also unsealed that year. The companies are fighting the cases and have disputed allegations of wrongdoing. CVS Health and Humana have also both disclosed investigations into their risk adjustment practices and said they’re cooperating with the probes. UnitedHealth and CVS declined to comment for this story. Representatives for Anthem, Cigna and Humana didn’t respond to requests for comment. The Department of Justice declined to comment.”
Posted on 2022-04-16T10:16:24+0000