« Return to search form

Violation Tracker Summary for Primary Offense Type

Offense Type: 
Medicare Parts C and D Enforcement Action
Penalty Total since 2000: 
$36,561,842
Number of Penalty Records: 
163
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$627,6254
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.
Download results as CSV or XML (maximum 10,000; for access to larger downloads contact Phil Mattera)
Company Parent Parent Major Industry Year Agencysort icon Penalty Amount
Medical Card System, Inc.   2016 CMS $652,650
Clover Health   2016 CMS $106,095
Health Net, Inc. Centene healthcare services 2016 CMS $458,250
Tenet Healthcare Corporation Tenet Healthcare healthcare services 2016 CMS $127,200
AHMC Central Health LLC AHMC Healthcare healthcare services 2016 CMS $153,850
Trinity Health Trinity Health healthcare services 2016 CMS $30,000
Universal Care, Inc.   2016 CMS $62,950
Humana, Inc. Humana healthcare services 2015 CMS $3,100,900
Independence Health Group, Inc.   2015 CMS $206,400
Care N' Care Insurance Company, Inc.   2015 CMS $327,100
SelectHealth, Inc.   2015 CMS $174,800
SilverScript Insurance Company CVS Health retailing 2015 CMS $594,100
Envision Pharmaceutical Services Rite Aid retailing 2015 CMS $2,596,700
Health Net of Arizona Centene healthcare services 2015 CMS $227,450
Indiana University Health Plan, Inc. Indiana University Health Inc. healthcare services 2015 CMS $101,675
The Carle Foundation   2015 CMS $34,445
UnitedHealthcare of New York UnitedHealth Group healthcare services 2015 CMS $149,150
Fallon Community Health Plan   2015 CMS $52,045
Atrio Health Plans   2015 CMS $69,405
New West Health Services   2015 CMS $204,200
Aetna Inc. CVS Health retailing 2015 CMS $1,000,000
Health First Health Plans, Inc.   2015 CMS $420,600
Southwest Catholic Health Network   2015 CMS $202,200
Citizens Choice Health Plan   2015 CMS $689,600
AlohaCare   2015 CMS $32,700
PacificSource Community Health Plans, Inc.   2015 CMS $90,000
Inland Empire Health Plan   2015 CMS $256,950
Health Plan of the Ohio Upper Valley   2015 CMS $194,950
Soundpath Health, Inc.   2015 CMS $250,100
Senior Whole Health Holdings, Inc.   2015 CMS $229,350
New West Health Services   2015 CMS $349,800
Providence Health Plan   2015 CMS $164,600
Phoenix Health Plans, Inc. Tenet Healthcare healthcare services 2014 CMS $146,600
Aultman Health Foundation   2014 CMS $93,700
Torchmark Corporation Globe Life Inc. financial services 2014 CMS $40,000
SilverScript Insurance Co. CVS Health retailing 2014 CMS $20,700
Local Initiative Health Authority for L.A. County   2014 CMS $234,850
Stonebridge Life Insurance Company   2014 CMS $370,400
Florida Healthcare Plus, Inc.   2014 CMS $113,200
Geisinger Health System Geisinger Health healthcare services 2014 CMS $180,400
Moda Health Plan, Inc.   2014 CMS $312,300
Network Health Insurance Corporation   2014 CMS $81,700
Blue Cross and Blue Shield of North Carolina   2014 CMS $290,250
Cambia Health Solutions, Inc.   2014 CMS $254,000
Cuatro LLC   2014 CMS $80,600
Express Scripts Medicare Cigna healthcare services 2014 CMS $334,300
WellCare Health Plans, Inc. Centene healthcare services 2014 CMS $290,050
USAble Mutual Insurance Company   2014 CMS $51,150
Blue Cross and Blue Shield of Florida   2014 CMS $176,000
HealthPartners, Inc.   2014 CMS $21,800
Tufts Associated HMO, Inc.   2014 CMS $137,700
Aetna, Inc. CVS Health retailing 2014 CMS $407,800
Aetna, Inc. CVS Health retailing 2014 CMS $101,500
Anthem Insurance Company & BCBSMA & BCBSRI & BCBSVT Anthem healthcare services 2014 CMS $100,950
Blue Cross and Blue Shield of Arizona, Inc.   2014 CMS $60,000
UCare Minnesota   2014 CMS $30,000
Independent Health Association, Inc.   2014 CMS $154,600
Lifetime Healthcare, Inc.   2014 CMS $447,450
Simply Healthcare Plans, Inc.   2014 CMS $252,750
Florida Healthcare Plus, Inc.   2014 CMS $40,890
Commonwealth Care Alliance, Inc.   2014 CMS $49,510
Independence Blue Cross   2014 CMS $50,000
Health Alliance Plan   2013 CMS $423,200
Medical Card System, Inc.   2013 CMS $23,410
InnovaCare, Inc.   2013 CMS $49,710
Independence Blue Cross   2013 CMS $47,945
Health Net, Inc. Centene healthcare services 2013 CMS $86,530
Centene Corporation Centene healthcare services 2013 CMS $25,710
Alexian Brothers Community Services   2013 CMS $25,000
Silver Star Health Network   2013 CMS $25,000
Centene Corporation Centene healthcare services 2013 CMS $100,000
Torchmark Corporation Globe Life Inc. financial services 2013 CMS $150,000
Public Health Trust of Miami-Dade   2013 CMS $175,000
The New York State Catholic Health Plan, Inc.   2012 CMS $75,000
Sterling Life Insurance Company Cigna healthcare services 2012 CMS $75,000
Aveta Inc. UnitedHealth Group healthcare services 2012 CMS $75,000
Physician's United Plan, Inc.   2012 CMS $50,000
HealthSun Health Plans, Inc. Anthem healthcare services 2012 CMS $50,000
Health Alliance Plan   2012 CMS $75,000
Triple-S Salud, Inc.   2012 CMS $350,000
Universal American Corp. Centene healthcare services 2012 CMS $325,000
Care 1st Health Plan   2012 CMS $50,000
UnitedHealth Group, Inc. UnitedHealth Group healthcare services 2012 CMS $2,175,000
Blue Cross Blue Shield of Tennessee   2011 CMS $20,000
Aetna, Inc. CVS Health retailing 2011 CMS $20,000
Blue Cross of Idaho Health Services, Inc.   2011 CMS $60,000
Coventry Health and Life Insurance Company CVS Health retailing 2011 CMS $20,000
Geisinger Indemnity Insurance Company   2011 CMS $20,000
The Regence Group   2011 CMS $100,000
WellCare Health Insurance of Arizona, Inc. Centene healthcare services 2011 CMS $20,000
Aetna, Inc. CVS Health retailing 2011 CMS $171,240
Universal American Corp. Centene healthcare services 2010 CMS $17,800
Coventry Summit Health Plan CVS Health retailing 2010 CMS $34,820
Alliance Health and Life Insurance Co.   2010 CMS $41,660
First Medical Health Plan   2010 CMS $57,240
Humana Insurance Company Humana healthcare services 2010 CMS $55,880
Mercy Health Plans CVS Health retailing 2010 CMS $16,970
Blue Cross of Idaho Health Services, Inc.   2010 CMS $31,800
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Express Scripts Medicare Cigna healthcare services 2016 CMS $5,325
Community Care HMO, Inc.   2017 CMS $760,500
Download results as CSV or XML (maximum 10,000; for access to larger downloads contact Phil Mattera)
(*): 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.