Freedom Health To Shell Out $32.5M In Medicare FCA Deal

Law360, San Francisco (May 30, 2017, 10:37 PM EDT) -- Freedom Health Inc. and its affiliates have agreed to pay $32.5 million to settle claims the managed care providers violated the False Claims Act by entering fraudulent diagnosis codes to inflate reimbursements to their Medicare Advantage plans in Florida, the U.S. Department of Justice announced on Tuesday.

The whistleblower suit was filed in 2009 by Darren D. Sewell, a Florida doctor who served as senior vice president of health services for Freedom and its related corporate entity, Optimum Healthcare Inc. He alleged that Freedom took advantage of the Medicare Advantage program, which emulates the managed care, in-system model used by private...

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Court

Florida Middle

Nature of Suit

Other Statutes: False Claims Act

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Date Filed

May 26, 2017

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