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By Susan Morse | 10:23 am | March 16, 2026
A whistleblower, a former Aetna risk-adjustment coding auditor, will receive $2 million.
By Susan Morse | 02:40 pm | January 16, 2026
DOJ had alleged that the Kaiser affiliates violated the False Claims Act by submitting invalid diagnosis codes to get higher government payments.
By Jeff Lagasse | 09:44 am | October 29, 2025
Aetna's struggles and a goodwill impairment charge have challenged the company this year.
By Jeff Lagasse | 10:35 am | September 23, 2025
The financial challenges are linked to a lawsuit charging the PBM with filing more than 3.3 million false claims from 2010 to 2018.
By Jeff Lagasse | 02:59 pm | July 31, 2025
Aetna saw its medical benefits ratio increase months after CVS announced it would exit the ACA individual market due to struggling performance.
By Jeff Lagasse | 11:47 am | May 09, 2025
The AGs say CVS Health charged these programs higher prices than they offered to the general public for the same drugs.
By Susan Morse | 11:33 am | April 23, 2025
The amount is based on Walgreens' ability to pay, and if sold, the company would owe an additional $50M, DOJ says.
By Susan Morse | 12:19 pm | March 26, 2025
Walgreens was accused of engaging in a "systematic and routine waiver of patient copayments."
By Jeff Lagasse | 11:46 am | January 22, 2025
The lawsuit says Walgreens sought reimbursement for the prescriptions from various federal healthcare programs.
By Jeff Lagasse | 12:07 pm | October 16, 2024
A federal investigation uncovered a scheme to steer vendor contracts to medical supply companies in exchange for cash.