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Data Mining Helped Medicare Advantage Plans Commit Fraud, Justice Department Alleges

Enlarge this image A civil suit filed by the U.S. Department of Justice this week links exaggerated patient bills to "tens of millions" in overcharges by Medicare Advantage plans. A data analytics team facilitated the fraud, the lawsuit alleges. John Lund/Getty Images John Lund/Getty Images The Justice Department has accused an upstate New York health insurance plan for seniors, along with a medical analytics company the insurer is affiliated with, of cheating the government out of tens of millions of dollars. The civil complaint of fraud, filed this week, is the first by the federal government to target a data …

 

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