OIG - Office of Inspector General
03/10/2026 | Press release | Distributed by Public on 03/11/2026 11:19
Aetna Agrees to Pay $117.7 Million to Resolve Allegations that it Violated the False Claims Act by Submitting or Failing to Correct Inaccurate Diagnoses for Medicare Advantage[...]
Aetna Agrees to Pay $117.7 Million to Resolve Allegations that it Violated the False Claims Act by Submitting or Failing to Correct Inaccurate Diagnoses for Medicare Advantage Enrollees
PHILADELPHIA - United States Attorney David Metcalf announced today that Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees in order to increase its payments from Medicare.
Read more on https://www.justice.gov
Action Details
- Date:March 10, 2026
- Agency:U.S. Attorney's Office, Eastern District of Pennsylvania
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Enforcement Types:
- Criminal and Civil Actions
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