The DOJ says that Kaiser systematically altered patients’ medical records to make them appear sicker and boost its revenue.

A recent NPR article cites federal court records showing at least six lawsuits since 2010 were whistleblowers alleging false billing in Medicare Advantage plans under the False Claims Act. The article ...

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.

June 26 (Reuters) - CVS Health's (CVS.N), opens new tab pharmacy benefit manager unit must pay the U.S. government $95 million after a federal judge found it overcharged Medicare for prescription ...

A federal judge has ordered CVS Health’s pharmacy benefit manager, Caremark, to pay nearly $290 million after a whistleblower accused the business of overcharging Medicare on prescription drugs more ...

Aug 20 (Reuters) - A federal judge ordered CVS Health's (CVS.N), opens new tab pharmacy benefit manager unit to pay $289.9 million in damages and penalties after it overcharged Medicare for ...