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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

U.S. ex rel. Poehling v. UnitedHealth Group, et al. (Medicare Advantage False Claims)

A False Claims Act lawsuit accuses several health insurers—including UnitedHealth Group, Health Net, and Humana—of engaging in a scheme since 2006 to submit inflated claims for payment to the Centers for Medicare & Medicaid Services (CMS) by reporting false “risk adjustment” information in order to improperly increase the amounts CMS pays them or their clients. The lawsuit alleges the companies collected payments from claims that they treated patients for conditions they did not have or for diagnoses that didn’t meet the requirements for risk adjustment. The lawsuit alleges the companies have defrauded the United States of hundreds of millions, possibly billions, of dollars.

Misconduct Type
Government Contract Fraud
Enforcement Agency
Non-Governmental
Contracting Party
Health and Human Services
Court Type
Civil
Disposition
Pending
Date of Complaint
10/27/2011
Contractors Involved Penalty
Total
Humana $0
Health Net, Inc. $0
UnitedHealth Group $0
Further Information Released
DOJ Press Release 5/16/2017
US Complaint in Intervention 5/16/2017
Complaint 10/27/2011

Federal Contractor Misconduct Database