Article
The Villages Health System $541.5 Million Settlement: A New Frontier In Medicare Advantage Risk Adjustment Enforcement
The Villages Health System LLC agreed to pay $541.5 million to resolve False Claims Act allegations involving invalid Medicare Advantage diagnosis codes submitted between 2020 and 2024. This landmark settlement demonstrates the Department of Justice's commitment to holding both healthcare providers and Medicare Advantage Organizations accountable for risk adjustment overpayments, while highlighting the value of self-disclosure and cooperation in federal healthcare fraud investigations.
Barnes & Thornburg LLP