What is the Anti-Kickback Statute? The Anti-Kickback Statute (“AKS”) (42 U.S.C § 1320a-7b(b)), is a federal law that prohibits healthcare providers from knowingly and willfully offering or accepting any form of remuneration to induce or reward patient referrals for services covered by federally funded health programs, including Medicaid, Medicare, or TRICARE also known as a “kickback.” Remunerations refer to anything of value such as a gift, money, or service, offered as a form of bribery whether in a direct or indirect, overt or covert, in cash or in-kind manner. The AKS is an intent-based statute that requires a…
Kickback Allegations Against Major Insurers and Brokers On May 1, 2025, the United States filed a False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq., lawsuit against Aetna, Elevance Health (formerly known as Anthem), and Humana – three of the largest insurance companies in the country – as well as eHealth, GoHealth, and SelectQuote – three of the largest insurance broker organizations in the country. The Medicare fraud lawsuit…
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