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Health Care Plan Agrees to Pay Over $500,000 As Part of Self-Disclosure of Potential False Claims Act Violations

DETROIT – United States Attorney Dawn N. Ison announced today that Commonwealth Care Alliance, Inc. (CCA) has agreed to pay $520,355.65 to resolve allegations that Reliance HMO, Inc., a company CCA acquired in 2022, violated the False Claims Act, 31 U.S.C. §§ 3729-3733, by providing cash payments to induce the referral of Medicare beneficiaries to enroll in Reliance’s Medicare Advantage Plan, in violation of the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b)(2). CCA voluntarily self-disclosed the conduct to the U.S. Attorney’s Office, and the settlement acknowledges that CCA took significant steps, entitling it to credit for cooperating with the government’s investigation.

Read more on www.justice.gov

Action Details

  • Date:January 17, 2025
  • Agency:U.S. Attorney's Office, Eastern District of Michigan
  • Enforcement Types:
    • Criminal and Civil Actions