The Humana world headquarters building in downtown Louisville, KY.

Humana sued the Centers for Medicare & Medicaid Services on Sept. 1 in an attempt to block a Biden administration policy allowing Medicare to claw back billions of dollars from insurers for overcharges. The lawsuit said CMS “did not even try” to justify its more aggressive approach toward determining whether private Medicare Advantage plans were overpaid.

Humana objected to a rule announced in January that allows the government to recoup payments when audits uncover charges for diagnoses that are not in patients’ medical records. The insurer said the rule, which would apply retroactively, was “arbitrary and capricious” and threatened “unpredictable consequences for Medicare Advantage organizations and the millions of seniors who rely on the Medicare Advantage program for their health care.”


© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.



Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.