Independent Health – Healthcare Fraud/Medicare Advantage ($98 million)

Constantine Cannon represented a whistleblower alleging Buffalo-based Independent Health violated the False Claims Act by submitting invalid and unsupported diagnosis codes to Medicare for Medicare Advantage Plan enrollees to increase the company’s payments under the Medicare Advantage program (Medicare Part C).  In December 2024, Independent Health agreed to pay up to $98 million to settle the matter.  The whistleblower will receive at least $8.2 million from the proceeds of the government’s recovery.  Read more – Becker’s, Buffalo News, DOJ, CC.