“Whistleblower triggers $32.5 million settlement with Florida managed care organization”

Edward H. Arens, a whistleblower lawyer with Phillips & Cohen, spoke with RACmonitor about the $32.5 settlement of a whistleblower lawsuit brought by Phillips & Cohen on behalf of a Florida doctor. The settlement resolved charges against Florida-based Medicare Advantage plans Freedom Health, Optimum Healthcare, and their affiliates.

“His lawsuit raised concerns about several issues that he saw in his short time at the company,” Edward Arens, co-counsel with the law firm Phillips & Cohen, LLP, wrote in an email to RACmonitor.

“Medicare Advantage plans and risk adjustment in particular are enormous potential sources of fraud. The government is protecting both taxpayers and patients when it polices those areas carefully,” Arens added.

You can read the full story on RACmonitor.