Humana Medicare Advantage FCA Suit Has Legs, Judge Says

Law360, New York (February 28, 2017, 8:12 PM EST) -- A Florida federal magistrate judge on Monday recommended keeping alive a closely watched False Claims Act suit accusing Humana Inc. of ignoring suspicious Medicare Advantage billing, concluding that a jury could find the whistleblower's allegations credible.

U.S. Magistrate Judge John J. O'Sullivan recommended that Humana be denied summary judgment. His 31-page report said that evidence from whistleblower Olivia Graves is sufficient to suggest that Humana may have recklessly disregarded false billing by Plaza Medical Centers Corp. The evidence also indicates that Humana may have disregarded its own obligation to return overpayments, he said.

Although Humana had argued that the existence of...

Stay ahead of the curve

In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.


  • Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
  • Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
  • Create custom alerts for specific article and case topics and so much more!

TRY LAW360 FREE FOR SEVEN DAYS

Hello! I'm Law360's automated support bot.

How can I help you today?

For example, you can type:
  • I forgot my password
  • I took a free trial but didn't get a verification email
  • How do I sign up for a newsletter?
Beta
Ask a question!