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Corporate conductSettlementAgainst
Humana Inc agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids
Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids.
Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids.
This article Whistleblower Lawsuit Against Humana: Settles Medicare Part D Fraud Allegations For $90M originally appeared on Benzinga.com
Whistleblower Lawsuit Against Humana: Settles Medicare Part D Fraud Allegations For $90M
Insurer Humana has said it will pay $90 million to resolve a False Claims Act case alleging that the company submitted fraudulent bids to the Centers for Medicare and Medicaid Services to secure Part D prescription drug contracts between 2011 and 2017.
The lawsuit, filed in the US District Court in western Kentucky, is led by two people who had a Humana Medicare Advantage Plan policy and said they were wrongfully denied needed and covered care, harming their health and finances.
Humana also using AI tool with 90% error rate to deny care, lawsuit claims - Ars Technica
The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on nH Predict's "highly inaccurate" recovery predictions, favoring them over doctors' recommendations.
Humana sued for allegedly using AI for Medicare Advantage denials | Healthcare Finance News
(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.
On October 18, 2024, Humana Inc., along with co-plaintiff Americans for Beneficiary Choice, filed suit against the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, Xavier Becerra in his official capacity as Secretary, and Chiquita Brooks-LaSure, in her official capacity as Administrator, in the United States District Court, Northern District of Texas, Fort Worth Division, seeking a determination that they violated the Administrative Procedure Act in administering the Medicare Advantage and Part D Star Ratings program.
EducationConfirmedIn favor
Humana announces 80 college scholarship winners
Humana announced 80 winners of college scholarships through its Humana Foundation Scholarship Program.
LOUISVILLE, Ky., September 01, 2026--(BUSINESS WIRE)--The Humana Foundation, the philanthropic arm of Humana Inc. (NYSE: HUM), today announced 80 winners of college scholarships awarded through the Humana Foundation Scholarship Program.
LOUISVILLE, Ky.--(BUSINESS WIRE)--Sep. 1, 2026-- The Humana Foundation, the philanthropic arm of Humana Inc. (NYSE: HUM), today announced 80 winners of college scholarships awarded through the Humana Foundation Scholarship Program.
Corporate conductSettlementAgainst
Humana agreed to pay $1.8 million for allegedly violating the Civil Monetary Penalties Law
Humana Agreed to Pay $1.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Prescription Drug Event Claims that Improperly Claimed Sales Tax | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services.
Humana Agreed to Pay $1.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Prescription Drug Event Claims that Improperly Claimed Sales Tax | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services
Workplace equityConfirmedYou decide
Humana's Total Rewards supports employee well-being
Humana's Total Rewards program provides competitive compensation, robust benefits, and resources that support health, financial security, and work-life balance.
Humana’s Total Rewards program complements these efforts by providing competitive compensation, robust benefits and resources that support health, financial security and work-life balance.
Labor & working conditionsConfirmedIn favor
Humana raises full-time hourly pay to $15
Humana announced it will raise full-time employees' hourly pay to $15 minimum.
Health insurer Humana will be raising its full-time employees’ hourly pay to a $15 minimum thanks to the Republican-backed tax bill that President Trump signed into law late last year, the company’s CEO announced during its quarterly earnings call Wednesday.
Corporate conductConfirmedAgainst
The Federal Trade Commission initiated a merger investigation
The documented action involving Humana, Inc. concerns FTC File No. 161-0026.
81(a)(5), for an order requiring Respond- ent Humana, Inc. to comply in full with the April 10, 2017 subpoena duces tecum issued to it in a merger investigation being conducted by the FTC (FTC File No. 161-0026).
Corporate conductConfirmedAgainst
Humana enters merger with Aetna
Humana entered into a merger agreement with Aetna on July 2, 2015.
Aetna and Humana entered into a merger agreement on July 2, 2015.
Corporate conductAllegationAgainst
Humana filed a response in opposition to the stay
On that same day, Humana filed a response in opposition to the stay, asking that it be lifted,7 and on September 11 a response in opposition to Mylan’s allegations of a conflict of interest disqualifying Special Master Stengel.8 Mylan’s motions and Humana’s responses were supported by several exhibits.
On that same day, Humana filed a response in opposition to the stay, asking that it be lifted,7 and on September 11 a response in opposition to Mylan’s allegations of a conflict of interest disqualifying Special Master Stengel.8 Mylan’s motions and Humana’s responses were supported by several exhibits.
Corporate conductConfirmedAgainst
Humana receives $3,100,900 civil penalty notice
Centers for Medicare & Medicaid Services provides notice to Humana of a $3,100,900 civil money penalty for specific Medicare Advantage-Prescription Drug and Prescription Drug Plans.
§§ 422.752(c)(1), 422.760(c), 423.752(c)(1), and 423.760(c), the Centers for Medicare & Medicaid Services (CMS) is providing notice to Humana, Inc. (Humana) that CMS has made a determination to impose a civil money penalty (CMP) in the amount of $131,660 for Medicare Advantage-Prescription Drug (MA-PD) and Prescription Drug Plan (PDP) Contract Numbers H0028, H0292, H0473, H1019, H1036, H1468, H1951, H3533, H4007, H4141, H4461, H5216, H5525, H5619, H5970, H6622, H7284, H7621, H8087, H8908, H9070, R0110, R0865, R1390, R3392, R4182, R4845, R5495, R7220, S5552, and S5884.
§ 422.752(c)(1), § 422.760(b), § 423.752(c)(1), and § 423.760(b), CMS has determined that Humana’s violations of Parts C and D requirements directly adversely affected (or had the substantial likelihood of adversely affecting) enrollees and warrants the imposition of a CMP.
§ 422.752(c)(1), § 422.760(b), § 423.752(c)(1), and § 423.760(b), the Centers for Medicare & Medicaid Services (CMS) is providing notice to Humana, Inc. (Humana), that CMS has made a determination to impose a civil money penalty (CMP) in the total amount of $3,100,900 on Medicare Advantage-Prescription Drug (MA-PD) and Prescription Drug Plan (PDP) Contract Numbers: H0028, H0108, H0336, H1019, H1036, H1291, H1406, H1418, H1468, H1510, H1716, H1906, H1951, H2012, H2029, H2486, H2649, H2944, H2949, H3480, H3533, H4007, H4141, H4145, H4461, H4510, H5216, H5415, H5525, H5619, H5970, H6609, H6622, H6859, H8145, H8908, H8953, R5826, S2874, S5552, and S5884.