About this episode

The episode discusses Aetna's settlement regarding False Claims Act allegations and related DOJ actions.

Aetna is just the latest in a long list of healthcare entities to settle False Claims Act (FCA) allegations with a massive settlement. The insurer, one of the nation’s largest, recently agreed to pay $117.7 million to resolve a case involving purportedly inaccurate and untruthful diagnosis codes to increase payments. That and other recent U.S. Department of Justice (DOJ) actions will take center stage during the next edition of Monitor Mondays, when featured speakers will weigh in on ...

Topics covered

• healthcare settlements
• False Claims Act
• diagnosis codes
• Aetna
• Department of Justice

Keywords

• Aetna
• False Claims Act
• healthcare
• settlement
• diagnosis codes
• Department of Justice

Mentioned in this episode

Organizations: Aetna, U.S. Department of Justice

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• SCOTUS Decision on Colorado “Conversion Therapy” Ban Leaves Much Left to Determine · April 27, 2026 · 25 min
• A Close-Up Look at Healthcare AI “Sherpas” · April 20, 2026 · 27 min
• EXCLUSIVE: Huge Loophole Has Insulated Medicare Appeals · April 13, 2026 · 30 min

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