Independence Blue Cross subsidiaries agree to pay $2.25 million to settle Medicare funding dispute

 

Independence Blue Cross subsidiaries agree to pay $2.25 million to settle Medicare funding dispute

Philadelphia Business Journal

Two divisions of Independence Blue Cross, Keystone Health Plan East and QCC Insurance Co., have agreed to pay $2.25 million to resolve allegations of False Claim Act violations. According to the U.S. Attorney's Office for the Eastern District of Pennsylvania, Keystone and QCC — which both offer Medicare Advantage health insurance plans to senior adults — allegedly incorrectly calculated anticipated plan costs, which resulted in inflated Medicare Advantage plan bids to the Centers for Medicare and Medicaid Services (CMS).

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