US DOJ Probing Whether Big Insurers Overcharge Medicare, Qui Tam Suit Reveals
In a qui tam health care fraud lawsuit against UnitedHealth Group Inc., the U.S. Department of Justice filed a document last week stating that it is investigating allegations that Health Net Inc., Aetna Inc., Cigna Corp.-owned Bravo Health Inc. and Humana Inc. fraudulently collected millions of dollars in Medicare payments by claiming patients were sicker than they actually were.
In the Goulston & Storrs 2017 General Counsel Survey, fifteen percent of GCs or in-house counsel say they have the most difficulty identifying exposures, and this emerging risk is reshaping their role.
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