Radar on Medicare Advantage

DOJ Whistleblower Intervention Spotlights ‘Nefarious’ Medicare Sales System

  • May 15
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    May 15, 2025

    News that the Dept. of Justice joined a whistleblower lawsuit alleging a massive kickback scheme between three major insurers and three large broker organizations sent shock waves through the industry and stock prices downward. But to those with experience selling health insurance, the allegations aren’t terribly shocking and bring to light deeply misaligned incentives across the industry.

    A major question going forward, insiders say, is whether the lawsuit will lead to regulations that properly address these incentives and weed out the so-called “bad actors” or whether the status quo will be allowed to continue.

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    • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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Meet Our Reporters

Lauren Flynn Kelly

Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage

View Lauren Flynn Kelly's Profile

Angela Maas

Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

View Angela Maas's Profile

Leslie Small

Managing Editor, Health Plan Weekly and Radar on Drug Benefits

View Leslie Small's Profile

Tim Casey

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Tim Casey’s Profile

Carina Belles

Reporter, Radar on Medicare Advantage and Spotlight on Market Access

View Carina Belles's Profile

Jinghong Chen

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Jinghong Chen's Profile

Jill Drachenberg

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Jill Drachenberg's Profile

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