U.S. Department of Justice False Claims Act Update

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Aetna Agrees to Pay $117.7 Million to Resolve False Claims Act Allegations

03/11/2026 08:00 AM EDT

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.

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