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Saturday, April 25, 2026

Aetna to Pay $118 Million for Alleged Violations of False Claims Act - Law.com

Connecticut-based Aetna Inc. agreed to pay $118 million to resolve allegations it violated the federal False Claims Act by coding thousands of members of its Medicare Advantage plan as "morbidly

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The judge noted a split between other courts in the district about whether quantum meruit claims can be maintained against third-party beneficiaries to the BCBS Illinois contract. The court said it would fall in line with another Chicago federal judge's decision from early February, allowing a California hospital to pursue equitable relief against another BCBS affiliate.

"A lot of the cases my firm is bringing are being brought under state law causes of action," said Michael Gottlieb of Gottlieb & Greenspan, counsel for many medical provider plaintiffs. "We're alleging that [the insurers'] failure to pay federal, binding NSA arbitration awards violates basic state tort principles such as unjust enrichment, among others.



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