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