The recent article against carriers is about admin overrides and marketing money. Read this article

[DonP]

The article goes in great detail about "admin fees disguised as marketing money ". Wow Humana paid E health like $250 and app for " disguised leads". The article mentions the anti kickback law just like he cms lawsuit last June.

DOJ joins lawsuit against major carriers alleging Medicare kickback scheme

Federal prosecutors have accused 3 of the country’s biggest health insurers of taking part in a kickback scheme allegedly defrauded Medicare.

insurancenewsnet.com

 

[MedicareWAA]

Apparently there is a *second* lawsuit naming WellCare. Does anyone have it?

There was a link to the first one in the news announcement. So I have this one: https://www.justice.gov/opa/media/1398796/dl

 

[DonP]

Apparently there is a *second* lawsuit naming WellCare. Does anyone have it?

There was a link to the first one in the news announcement. So I have this one: https://www.justice.gov/opa/media/1398796/dl

Amazing I read about 100 of the 200 plus pages . Humana was giving as much as $400 an app marketing money to go health alone . They paid them $17 mil check at one pop .This does not even include the $250 override . That's were this $1000 overall plus an app #'s we read came in . Thats what's been fueling the constant flipping and chaos that industry wide to flip plans . The carriers have fueled mass greed industry wide . All this with taxpayer money . Carriers are the arms dealers and agents and fmo's are the soldiers . This
Indirectly ties into the cms lawsuit last yr about nixing overrides and admin fees in the name of steering and giving the agent a flat $100 more . I think what's being said is call centers and telesales fmo shops are running flipping outfit businesses. They serve no real value but to make money for carriers steering business there way . Agents all have defined level comp and have no financial incentive based on mandated level commissions to steer . I see big changes coming as the carriers will settle and agree to cut out marketing money and chop or eliminate admin fees .

 

[MedicareWAA]

Amazing I read about 100 of the 200 plus pages . Humana was giving as much as $400 an app marketing money to go health alone . They paid them $17 mil check at one pop .This does not even include the $250 override . That's were this $1000 overall plus an app #'s we read came in . Thats what's been fueling the constant flipping and chaos that industry wide to flip plans . The carriers have fueled mass greed industry wide . All this with taxpayer money . Carriers are the arms dealers and agents and fmo's are the soldiers . This
Indirectly ties into the cms lawsuit last yr about nixing overrides and admin fees in the name of steering and giving the agent a flat $100 more . I think what's being said is call centers and telesales fmo shops are running flipping outfit businesses. They serve no real value but to make money for carriers steering business there way . Agents all have defined level comp and have no financial incentive based on mandated level commissions to steer . I see big changes coming as the carriers will settle and agree to cut out marketing money and chop or eliminate admin fees .

I'm looking for where the one about WellCare can be found.

 

[DonP]

surprised no one on Medicare monsters posted it . All these lawsuits tie together . Carriers have used bribery taxpayer money to steer business as the profit has been so high . I'll give up all marketing money if it puts the call centers and fmo mass telesales shops out of business .

 

[Surancedawg]

Carriers are the arms dealers and agents and fmo's are the soldiers .

Damn, Don, I didn't know you had such a way with words. That's right on the money.

 

[AgentGeneral]

Damn, Don, I didn't know you had such a way with words. That's right on the money.

Yep or as I've said many times we are the worker ants

 

[MedicareWAA]

surprised no one on Medicare monsters posted it . All these lawsuits tie together . Carriers have used bribery taxpayer money to steer business as the profit has been so high . I'll give up all marketing money if it puts the call centers and fmo mass telesales shops out of business .

I found it. This is the complaint that also mentions WellCare, brokers' favorite carrier. And there are other numbers and quotes in this one.

https://litigationtracker.law.georgetown.edu/wp-content/uploads/2025/05/US-ex-rel-Shea_2025.04.29_AMENDED-COMPLAINT.pdf

Seems that Georgetown's law school tracker has lots of cases available for the public to read.

 

[Bevo]

Damn, Don, I didn't know you had such a way with words. That's right on the money.

Even a broken clock is right twice a day.

 

[Special Agent]

I found it. This is the complaint that also mentions WellCare, brokers' favorite carrier. And there are other numbers and quotes in this one.

https://litigationtracker.law.georgetown.edu/wp-content/uploads/2025/05/US-ex-rel-Shea_2025.04.29_AMENDED-COMPLAINT.pdf

Seems that Georgetown's law school tracker has lots of cases available for the public to read.

I thought crooks knew better than to document their malfeasance in emails. This may be be one of the smoking guns on page 28...

12, 2021, Mr. Roberts explained that, when Medicare Advantage carriers were paying MDF to eHealth, "they're not paying for advertising. They're paying for business. . . . It's not easy to get the money, and there are expectations tied to it."