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Payers

Aetna to pay $117.7M to settle MA upcoding allegations: DOJ

Aetna has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments.
Paige Minemyer Mar 11, 2026 12:57pm
Hims  Hers Super Bowl commercial

Hims & Hers downplays business impact of compounded GLP-1s

Feb 25, 2026 1:30pm
The word fraud framed by other words

MultiCare pays $3.7M to settle unnecessary surgery allegations

Feb 6, 2026 4:00pm
The Department of Justice building

DOJ: False Claims Act settlements, judgements top $6.8B in FY25

Jan 22, 2026 12:56pm
The side of a building that reads Kaiser Permanente

Kaiser Permanente to pay $556M to settle MA fraud claims

Jan 14, 2026 11:30pm
Stethoscope with 2025 text on blue background representing future healthcare concept

Editor's Corner—A look back at the top 15 stories of 2025

Dec 23, 2025 6:00am

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