Violation Tracker Summary for Primary Offense Type

Offense Type: 
Medicare Parts C and D Enforcement Action
Penalty Total since 2000: 
$36,489,974
Number of Penalty Records: 
162
Note: 
The totals here are adjusted to account for the fact that each parent's entries may include both agency records and settlement announcements for the same case; or else a penalty covering multiple locations may be listed in the individual records for each of the facilities. They are also adjusted to reflect cases in which federal and state or local agencies cooperated and issued separate announcements of the outcome. Duplicate or overlapping penalty amounts are marked with an asterisk in the individual records list below.

Top 10 Parent CompaniesTotal Penalty $Number of Records
UnitedHealth Group$4,898,0004
Humana$3,414,0423
Centene$3,175,99613
Rite Aid$2,596,7001
CVS Health$2,387,13010
Magellan Health$1,489,9003
Cigna$552,6253
Anthem$394,1503
Tenet Healthcare$273,8002
Medical Mutual of Ohio$222,3001


Individual Penalty Records:

Click on the company or penalty amount for more information on each case. Click on the parent name to reach the summary page for that parent company.
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Company Parent Parent Major Industry Year Agency Penalty Amountsort icon
Humana, Inc. Humana healthcare services 2015 CMS $3,100,900
Envision Pharmaceutical Services Rite Aid retailing 2015 CMS $2,596,700
UnitedHealthcare Medicare & Retirement UnitedHealth Group healthcare services 2016 CMS $2,498,850
UnitedHealth Group, Inc. UnitedHealth Group healthcare services 2012 CMS $2,175,000
Merit Health Insurance Company Magellan Health healthcare services 2018 CMS $1,368,200
WellCare Health Plans, Inc. Centene healthcare services 2017 CMS $1,174,300
Aetna Inc. CVS Health retailing 2015 CMS $1,000,000
Presbyterian Health Plan   2017 CMS $775,375
AvMed, Inc.   2017 CMS $764,375
Community Care HMO, Inc.   2017 CMS $760,500
Citizens Choice Health Plan   2015 CMS $689,600
Medical Card System, Inc.   2016 CMS $652,650
SilverScript Insurance Company CVS Health retailing 2015 CMS $594,100
Quality Health Plans, Inc.   2010 CMS $509,000
Health Net, Inc. Centene healthcare services 2016 CMS $458,250
Lifetime Healthcare, Inc.   2014 CMS $447,450
Health Alliance Plan   2013 CMS $423,200
Health First Health Plans, Inc.   2015 CMS $420,600
Aetna, Inc. CVS Health retailing 2014 CMS $407,800
Health Care Service Corporation   2020 CMS $381,272
WellCare Health Plans, Inc. Centene healthcare services 2019 CMS $373,800
Stonebridge Life Insurance Company   2014 CMS $370,400
Triple-S Salud, Inc.   2012 CMS $350,000
New West Health Services   2015 CMS $349,800
Fallon Community Health Plan   2017 CMS $344,100
Express Scripts Medicare Cigna healthcare services 2014 CMS $334,300
Triple-S Management Corporation   2020 CMS $329,872
Care N' Care Insurance Company, Inc.   2015 CMS $327,100
Universal American Corp. Centene healthcare services 2012 CMS $325,000
Independent Care Health Plan, Inc.   2017 CMS $321,900
Moda Health Plan, Inc.   2014 CMS $312,300
Blue Cross and Blue Shield of North Carolina   2014 CMS $290,250
WellCare Health Plans, Inc. Centene healthcare services 2014 CMS $290,050
Humana Inc. Humana healthcare services 2020 CMS $257,262
Inland Empire Health Plan   2015 CMS $256,950
Cambia Health Solutions, Inc.   2014 CMS $254,000
Simply Healthcare Plans, Inc.   2014 CMS $252,750
Soundpath Health, Inc.   2015 CMS $250,100
Anthem, Inc. Anthem healthcare services 2018 CMS $243,200
Local Initiative Health Authority for L.A. County   2014 CMS $234,850
Senior Whole Health Holdings, Inc.   2015 CMS $229,350
Health Net of Arizona Centene healthcare services 2015 CMS $227,450
Medical Mutual of Ohio Medical Mutual of Ohio healthcare services 2017 CMS $222,300
Express Scripts Holding Company Cigna healthcare services 2017 CMS $213,000
Independence Health Group, Inc.   2015 CMS $206,400
New West Health Services   2015 CMS $204,200
Southwest Catholic Health Network   2015 CMS $202,200
Health Plan of the Ohio Upper Valley   2015 CMS $194,950
Geisinger Health System   2014 CMS $180,400
Blue Cross and Blue Shield of Florida   2014 CMS $176,000
Public Health Trust of Miami-Dade   2013 CMS $175,000
SelectHealth, Inc.   2015 CMS $174,800
Aetna, Inc. CVS Health retailing 2011 CMS $171,240
Providence Health Plan   2015 CMS $164,600
Independent Health Association, Inc.   2014 CMS $154,600
AHMC Central Health LLC AHMC Healthcare healthcare services 2016 CMS $153,850
Torchmark Corporation Globe Life Inc. financial services 2013 CMS $150,000
UnitedHealthcare of New York UnitedHealth Group healthcare services 2015 CMS $149,150
Blue Shield of California Promise Health Plan   2020 CMS $148,506
Phoenix Health Plans, Inc. Tenet Healthcare healthcare services 2014 CMS $146,600
Tufts Associated HMO, Inc.   2014 CMS $137,700
Elderplan, Inc.   2017 CMS $132,000
SCAN Health Plan SCAN Health Plan healthcare services 2017 CMS $127,950
Tenet Healthcare Corporation Tenet Healthcare healthcare services 2016 CMS $127,200
Health Care Service Corporation   2016 CMS $115,625
Florida Healthcare Plus, Inc.   2014 CMS $113,200
Clover Health   2016 CMS $106,095
Excellus Health Plan, Inc. Excellus BlueCross BlueShield healthcare services 2017 CMS $105,400
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Indiana University Health Plan, Inc.   2015 CMS $101,675
Aetna, Inc. CVS Health retailing 2014 CMS $101,500
Anthem Insurance Company & BCBSMA & BCBSRI & BCBSVT Anthem healthcare services 2014 CMS $100,950
Centene Corporation Centene healthcare services 2013 CMS $100,000
The Regence Group   2011 CMS $100,000
Vantage Holdings, Inc.   2017 CMS $98,500
Aultman Health Foundation   2014 CMS $93,700
PacificSource Community Health Plans, Inc.   2015 CMS $90,000
Health Net, Inc. Centene healthcare services 2013 CMS $86,530
MVP Health Plan, Inc.   2017 CMS $85,200
Peoples Health, Inc   2017 CMS $83,250
Network Health Insurance Corporation   2014 CMS $81,700
Cuatro LLC   2014 CMS $80,600
The New York State Catholic Health Plan, Inc.   2012 CMS $75,000
Sterling Life Insurance Company   2012 CMS $75,000
Aveta Inc. UnitedHealth Group healthcare services 2012 CMS $75,000
Health Alliance Plan   2012 CMS $75,000
BlueCross BlueShield of Tennessee   2017 CMS $74,400
Atrio Health Plans   2015 CMS $69,405
USAble Mutual Insurance Company   2017 CMS $67,500
Cambia Health Solutions, Inc.   2018 CMS $65,800
Universal Care, Inc.   2016 CMS $62,950
Merit Health Insurance Company Magellan Health healthcare services 2018 CMS $62,100
UCare Minnesota   2018 CMS $61,500
Blue Cross and Blue Shield of Arizona, Inc.   2014 CMS $60,000
Blue Cross of Idaho Health Services, Inc.   2011 CMS $60,000
Merit Health Insurance Company Magellan Health healthcare services 2017 CMS $59,600
Caidan Enterprises, Inc.   2016 CMS $57,715
First Medical Health Plan   2010 CMS $57,240
Humana Insurance Company Humana healthcare services 2010 CMS $55,880
Fallon Community Health Plan   2015 CMS $52,045
USAble Mutual Insurance Company   2014 CMS $51,150
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(*): Some penalties are partial or complete duplicates of other penalty records, either because a DOJ settlement duplicates an agency record or because EPA listed the full penalty for a company for each of the company's relevant facilities. Penalty amounts marked with an asterisk have been identified by Good Jobs First as duplicating other penalty amounts.