On Thursday, the Ministry of Justice accused three of the largest health insurance companies in the United States for illegal reactions to insurance brokers who illegally reacted hundreds of millions of dollars and controlled people with personal Medicare plans for several years.
The federal prosecutor also accused the insurance company that the insurance company was more expensive, so it was accused by two insurers who collided with the brokers to discriminate against the disabled by interfering with the registration of the individual medical staff.
About 12%of Medicare beneficiaries are under 65 years of age, so it is applied because the federal insurance program has a disability. Given the complex health demands, their treatment can be expensive.
According to complaintAETNA, the largest health insurance company in the United States, originally brought by an internal accuser and joined with the Ministry of Justice; Elevation health, formerly known as national anthem; And to increase the registration to the Humana -Medicare Advantage plan, three large brokers are accused of paying a big difference to a big broker. Such brokerage companies have also been prosecuted as illegal acts.
that complaintAfter being submitted to Boston’s federal court, the reaction occurred at least from 2016 to 2021, and AETNA and Humana were accused of discrimination against the disabled.
AETNA, Elevance, Gohealth and Humana denied this claim, and others did not immediately respond to the request.
This lawsuit is one of the first signs of the Trump administration that some Medicare advantage will continue to be fed. Critics of these plans, including parliamentarians, have made a tremendous misrepresentation of overly aggressive marketing strategies and excessive charging the federal government. Medicare Advantage Plan now covers more than half of all individuals registered in the federal program.
He responded to the Senators about the excess of the personal plan that there is a “new sheriff” in the city at the Senate Confirmation hearing of Dr. Mehmet OZ, a manager of Medicare and Medicaid Service Center.
Brokers often play a pivotal role in helping the elderly and the disabled Americans who can determine the personal plan for Medicare. In complaints, the intermediary was accused of controlling the individual to the most paid plan than the person who was most suitable for the person’s needs.
In recent years, small regional brokers have used call centers and websites such as large -scale national organizations using many agents and companies that have been named in a lawsuit. They now rely on computer programs and help to identify the best plans for each caller, which is a technology that can make the type of steering described in the lawsuit.
Last year, the BIDEN administration was A regulation After the insurance company is designed to lower the fees that can pay these companies Parliament In addition, consumer dissatisfaction with the insurer has awarded bonuses for registering more people in a specific plan, regardless of individual needs. But the lawsuit withheld the rules.
US lawyer Leah B. Foley said, “The federal prosecutor mentioned a blunt person in mentioning cases related to the disabled.“ Efforts to drive out the beneficiaries are less profitable for health insurance companies, especially the efforts to stay away from the beneficiaries. ” We will continue to investigate and prosecute profits and greed for profits. “
