Health Insurers Face $3 Billion Medicare Clawback Threat (1)

Jan. 24, 2023, 4:41 PM UTC

Humana Inc., UnitedHealth Group Inc. and other big insurers are set for a clash with US officials over up to $3 billion in potential penalties for the industry threatened by an obscure, years-late regulation.

Cigna Corp., CVS Health Corp. and Centene Corp. also face potential clawbacks of Medicare payments booked a decade or longer ago, according to a report from the research firm Veda Partners. Insurers say they’re preparing to go to court if administrators for the senior-health program don’t make the final version of the rule expected by the beginning of February more lenient than a ...

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