Medicaid Fraud Suit Could Hurt Aetna’s Future Bid Chances

Editor’s note: This article has been updated to include a statement from Aetna.

A recently unsealed whistleblower lawsuit accuses CVS Health Corp.’s Aetna of defrauding the Commonwealth of Pennsylvania and the federal Medicaid program by knowingly misrepresenting the number of pediatricians in Aetna’s Medicaid network. While the outcome of the suit is far from certain, and the Dept. of Justice opted not to intervene in the matter, legal experts say the case may have merit — and Medicaid insiders say that Aetna’s reputation may take a hit.

0 Comments
© 2023 MMIT
AIS Health Staff

AIS Health Staff

Related Posts

humana-website
February 3

Humana Anticipates Strong EPS Growth in 2023, Cites Individual MA Enrollment Increase

READ MORE
ambulance
February 3

Study Could Help Policymakers Set Fair Reimbursement Rate for Ground Ambulances

READ MORE
call-center
February 3

UnitedHealth, Blues Spinoff Lucet Proffer Behavioral Health Care Access Solutions

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today