December 13, 2023
This year saw a rare False Claims Act jury trial that netted a $490 million verdict, a $172 million settlement from Cigna to settle healthcare fraud allegations, and emerging fraud schemes from developing technologies. Here, Law360 takes a look back at six significant healthcare fraud enforcement actions from 2023.
September 29, 2023
The Cigna Group will pay over $172 million to resolve claims that the health insurer exaggerated patient illnesses in order to extract more money from the federal government through the Medicare Advantage program, the U.S. Justice Department said Saturday.
July 05, 2023
After the U.S. Supreme Court recently fortified barriers to escaping False Claims Act suits, defense counsel have started trying to turn the stumbling blocks into stepping stones, insisting the justices actually made matters harder for FCA plaintiffs alleging fraud and retaliation.
June 12, 2023
The U.S. Supreme Court's ruling that faulty yet reasonable compliance views can trigger False Claims Act liability is undermining defense bar positions in wide-ranging contexts, including a new circuit split over FCA cases involving kickbacks, according to the U.S. Department of Justice.
January 05, 2023
The never-not-busy False Claims Act realm will be extra active in 2023 as the U.S. Supreme Court delivers at least one FCA opinion — and perhaps two or even three — in headliner cases during a year in which attorneys are also eyeing a new circuit split and emerging enforcement frontiers.
December 19, 2022
Cigna has told a Tennessee federal judge that the U.S. Department of Justice's False Claims Act lawsuit accusing it of defrauding Medicare Advantage by exaggerating diagnoses is merely challenging an "industry-wide practice."
October 17, 2022
The federal government intervened Monday in a whistleblower lawsuit accusing Cigna Corp. of overbilling Medicare Advantage, saying in its complaint that the health insurance giant submitted exaggerated diagnoses for policyholders to make them appear to have more serious medical conditions.