Whistleblower Is ‘Grateful’ for DOJ Suit Alleging Aetna, Elevance, Humana Paid Kickbacks

  • May 02, 2025

    The Dept. of Justice (DOJ) on May 1 said it filed a complaint accusing CVS Health Corp.’s Aetna, Elevance Health, Inc. and Humana Inc. of paying “hundreds of millions of dollars in illegal kickbacks” to three large brokers in exchange for enrolling people into the insurers’ Medicare Advantage plans. 

    The lawsuit was originally filed in 2021 by a former eHealth employee, Andrew Shea, under the whistleblower provisions of the False Claims Act. Gregg Shapiro, the attorney representing Shea, tells AIS Health, a division of MMIT, that “Mr. Shea is grateful that the Department of Justice thoroughly investigated his allegations and has chosen to intervene in the case.” 

    Shapiro added: “People with Medicare must know that when an insurance agent recommends a plan, that recommendation is based solely on the client's individual needs and preferences. Mr. Shea looks forward to seeing this matter through to a just conclusion.” 

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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