Health Affairs June 26, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress.
On May 1, 2025, the U.S. Department of Justice (DoJ) filed a complaint joining a lawsuit against leading Medicare Advantage Organizations (MAOs) and insurance broker organizations under the False Claims Act (FCA). The case, originally filed by a whistleblower in 2021, alleges that MAOs paid agents and brokers illegal kickbacks to drive Medicare Advantage (MA) enrollment and discriminated against Medicare beneficiaries with disabilities....
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