Skip to Main Content

November 16, 2023   

DOJ Indicts Former Executive at Medicare Advantage Organization, Signaling Continued Commitment to Individual Accountability in Corporate Criminal Investigations

This Bulletin is brought to you by AHLA’s Fraud and Abuse Practice Group.
  • November 16, 2023
  • John H. Lawrence , K&L Gates LLP
  • Stephen Bittinger , K&L Gates LLP
  • Allessandra Stewart , K&L Gates LLP

On October 24, 2023, the former Director of Medicare Risk Adjustment Analytics at HealthSun Health Plans, Inc. (HealthSun), was charged in a six count indictment with one count of Conspiracy to Commit Health Care Fraud and Wire Fraud, two counts of Wire Fraud, and three counts of Major Fraud Against the United States. HealthSun is a Medicare Advantage Organization (MAO) operating in the Miami, FL area.


You must be logged in to access this content.