On May 1, 2025, the Department of Justice filed a False Claims Act lawsuit against three of the nation’s largest health insurance companies—Aetna (CVS Health), Humana, and Elevance Health (formerly Anthem)—along with three major insurance brokers—eHealth, GoHealth, and SelectQuote. The …
Department of JusticeAetnaCVS HealthHumanaElevance Health+4 morehealthcaremedicare-advantageinsurance-fraudsystematic-corruptionwhistleblower+1 more
On August 16, 2024, Humana agreed to pay $90 million to settle the first whistleblower lawsuit alleging systematic fraud in Medicare Part D prescription drug program bidding. The case exposed how Humana maintained “two sets of books”—submitting false financial projections to the Centers …
HumanaCenters for Medicare & Medicaid ServicesDepartment of JusticeSteven Scott (whistleblower)healthcaremedicare-advantageinsurance-fraudsystematic-corruptionwhistleblower
Questcor Pharmaceuticals implemented an overnight price increase for H.P. Acthar Gel from $1,600 to $23,000 per vial on August 27, 2007, launching a decade-long price gouging scheme that would eventually raise the drug’s price by 97,000% from its 2001 level. Questcor had acquired Acthar—a …
Questcor PharmaceuticalsMallinckrodtFederal Trade CommissionHumanaCongress+1 morepharmaceutical-industrydrug-pricinghealthcarecorporate-fraudbribery+2 more