Choice can get this wrong — tell us if something's off.
1–5 of 5
Corporate conductAllegationAgainst
Elevance Health Inc. is accused of paid illegal kickbacks
Elevance Health Inc. is accused of paying hundreds of millions of dollars in illegal kickbacks to insurance brokers in exchange for Medicare Advantage plan enrollments from 2016 through at least 2021.
Department of Justice filed a complaint Thursday under the False Claims Act, accusing three of the largest Medicare Advantage insurers—Aetna, Humana, and Elevance Health—of paying brokers hundreds of millions of dollars to steer beneficiaries toward their plans, and to steer disabled seniors away in an effort to keep them more profitable.
and affiliates, Elevance Health Inc. (formerly known as Anthem), and Humana Inc. — and three large insurance broker organizations — eHealth, Inc. and an affiliate, GoHealth, Inc., and SelectQuote Inc. The United States alleges that from 2016 through at least 2021, the defendant insurers paid hundreds of millions of dollars in illegal kickbacks to the defendant brokers in exchange for enrollments into the insurers’ Medicare Advantage plans.
Corporate conductAllegationAgainst
Elevance Health, Inc. is accused of falsely certifying diagnosis data
Elevance Health, Inc. is accused of falsely certifying the accuracy of diagnosis data submitted to CMS for Medicare Part C risk-adjustment purposes and knowingly failing to delete inaccurate diagnosis codes.
Department of Justice (“DOJ”) filed a civil lawsuit against Elevance Health, Inc. in the District Court in a case captioned United States v. Anthem, Inc. The DOJ’s suit alleges, among other things, that we falsely certified the accuracy of the diagnosis data we submitted to the Centers for Medicare and Medicaid Services (“CMS”) for risk-adjustment purposes under Medicare Part C and knowingly failed to delete inaccurate diagnosis codes.
Corporate conductAllegationAgainst
Elevance Health is accused of steering beneficiaries
The Department of Justice alleges Elevance Health paid brokers hundreds of millions to steer beneficiaries toward their plans and away from disabled seniors.
Department of Justice filed a complaint Thursday under the False Claims Act, accusing three of the largest Medicare Advantage insurers—Aetna, Humana, and Elevance Health—of paying brokers hundreds of millions of dollars to steer beneficiaries toward their plans, and to steer disabled seniors away in an effort to keep them more profitable.
Corporate conductAllegationAgainst
A group of independent neurosurgeons filed an antitrust suit against Elevance Health Inc
The allegation involving Elevance Health Inc. concerns independent neurosurgeons.
A practice group for independent neurosurgeons lobbed an antitrust suit against Elevance Health Inc. in New York federal court alleging the insurer is impeding their ability to compete for patients by...
Corporate conductAllegationAgainst
ELEVANCE HEALTH was named as a defendant in a federal lawsuit filed
) ANDREW SHEA, ) ) Plaintiffs, ) ) v. ) eHEALTH, INC., eHEALTH ) ) No. 21-cv-11777-DJC INSURANCE SERVICES, INC., ) CVS HEALTH CORPORATION, ) AETNA LIFE INSURANCE ) COMPANY, AETNA, INC., ) HUMANA INC., ELEVANCE HEALTH, ) INC., GOHEALTH, INC., and ) SELECTQUOTE, INC., ) Defendants.