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$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
Companysort icon Parent Parent Major Industry Year Agency Penalty Amount
Aetna Inc. CVS Health retail-pharmacies 2015 CMS $1,000,000
Aetna, Inc. CVS Health retail-pharmacies 2014 CMS $407,800
Aetna, Inc. CVS Health retail-pharmacies 2014 CMS $101,500
Aetna, Inc. CVS Health retail-pharmacies 2011 CMS $20,000
Aetna, Inc. CVS Health retail-pharmacies 2011 CMS $171,240
Affinity Health Plan, Inc.   2017 CMS $35,300
Agewell New York, LLC   2019 CMS $39,200
AHMC Central Health LLC AHMC Healthcare hospitals 2016 CMS $153,850
Alexian Brothers Community Services   2013 CMS $25,000
Alliance Health and Life Insurance Co.   2010 CMS $41,660
AlohaCare   2015 CMS $32,700
Anthem Insurance Company & BCBSMA & BCBSRI & BCBSVT Anthem insurance; managed care 2014 CMS $100,950
Anthem, Inc. Anthem insurance; managed care 2018 CMS $243,200
Arkansas Superior Select, Inc.   2019 CMS $49,600
Atrio Health Plans   2015 CMS $69,405
Aultman Health Foundation   2014 CMS $93,700
Aveta Inc. UnitedHealth Group insurance; managed care 2012 CMS $75,000
AvMed, Inc.   2017 CMS $764,375
Baylor Scott & White Holdings Baylor Scott & White Health hospitals 2017 CMS $39,300
Baylor Scott & White Holdings Baylor Scott & White Health hospitals 2018 CMS $40,000
Blue Cross and Blue Shield of Arizona, Inc.   2014 CMS $60,000
Blue Cross and Blue Shield of Florida   2014 CMS $176,000
Blue Cross and Blue Shield of North Carolina   2014 CMS $290,250
Blue Cross Blue Shield of Tennessee   2011 CMS $20,000
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Blue Cross of Idaho Health Services, Inc.   2011 CMS $60,000
Blue Cross of Idaho Health Services, Inc.   2010 CMS $31,800
Blue Shield of California Promise Health Plan   2020 CMS $148,506
BlueCross BlueShield of Alabama   2017 CMS $27,000
BlueCross BlueShield of Tennessee   2017 CMS $74,400
Caidan Enterprises, Inc.   2016 CMS $57,715
Cambia Health Solutions, Inc.   2014 CMS $254,000
Cambia Health Solutions, Inc.   2018 CMS $65,800
Care 1st Health Plan   2012 CMS $50,000
Care N' Care Insurance Company, Inc.   2015 CMS $327,100
Centene Corporation Centene managed care 2013 CMS $25,710
Centene Corporation Centene managed care 2013 CMS $100,000
Centene Corporation Centene managed care 2017 CMS $31,950
CenterLight TeamCare CenterLight Health System healthcare services 2019 CMS $38,159
CHRISTUS Health Plan CHRISTUS Health hospitals 2017 CMS $7,080
Citizens Choice Health Plan   2015 CMS $689,600
Clover Health   2016 CMS $106,095
Commonwealth Care Alliance, Inc.   2014 CMS $49,510
Commonwealth Care Alliance, Inc.   2019 CMS $42,900
Community Care HMO, Inc.   2017 CMS $760,500
Community PACE at Home, Inc.   2019 CMS $38,159
Coventry Health and Life Insurance Company CVS Health retail-pharmacies 2011 CMS $20,000
Coventry Summit Health Plan CVS Health retail-pharmacies 2010 CMS $34,820
Cuatro LLC   2014 CMS $80,600
Elderplan, Inc.   2017 CMS $132,000
Envision Pharmaceutical Services Rite Aid retail-pharmacies 2015 CMS $2,596,700
Excellus Health Plan, Inc. Excellus BlueCross BlueShield health insurance 2017 CMS $105,400
Express Scripts Holding Company Cigna insurance; managed care 2017 CMS $213,000
Express Scripts Medicare Cigna insurance; managed care 2014 CMS $334,300
Express Scripts Medicare Cigna insurance; managed care 2016 CMS $5,325
Fallon Community Health Plan   2015 CMS $52,045
Fallon Community Health Plan   2017 CMS $344,100
First Medical Health Plan   2010 CMS $57,240
FirstHealth of the Carolinas, Inc.   2017 CMS $28,975
Florida Health Care Plan, Inc.   2018 CMS $23,800
Florida Healthcare Plus, Inc.   2014 CMS $113,200
Florida Healthcare Plus, Inc.   2014 CMS $40,890
Franciscan ACO, Inc.   2019 CMS $38,159
Geisinger Health System Geisinger Health healthcare services 2014 CMS $180,400
Geisinger Indemnity Insurance Company   2011 CMS $20,000
Guidewell Mutual Holding Corporation   2018 CMS $30,900
Health Alliance Plan   2013 CMS $423,200
Health Alliance Plan   2012 CMS $75,000
Health Care Service Corporation   2016 CMS $115,625
Health Care Service Corporation   2020 CMS $381,272
Health First Health Plans, Inc.   2015 CMS $420,600
Health Net of Arizona Centene managed care 2015 CMS $227,450
Health Net, Inc. Centene managed care 2016 CMS $458,250
Health Net, Inc. Centene managed care 2013 CMS $86,530
Health Partners Plans, Inc.   2016 CMS $32,600
Health Plan of San Mateo   2016 CMS $49,725
Health Plan of the Ohio Upper Valley   2015 CMS $194,950
Healthfirst, Inc. Healthfirst health insurance 2016 CMS $38,125
HealthPartners, Inc.   2014 CMS $21,800
HealthSun Health Plans, Inc. Anthem insurance; managed care 2012 CMS $50,000
Henry Ford Health System Henry Ford Health System hospitals 2018 CMS $43,300
Humana Inc. Humana insurance; managed care 2020 CMS $257,262
Humana Insurance Company Humana insurance; managed care 2010 CMS $55,880
Humana, Inc. Humana insurance; managed care 2015 CMS $3,100,900
Independence Blue Cross   2014 CMS $50,000
Independence Blue Cross   2013 CMS $47,945
Independence Health Group, Inc.   2015 CMS $206,400
Independent Care Health Plan, Inc.   2017 CMS $321,900
Independent Health Association, Inc.   2014 CMS $154,600
Indiana University Health Plan, Inc. Indiana University Health Inc. hospitals 2015 CMS $101,675
Indiana University Health Plans, Inc. Indiana University Health Inc. hospitals 2017 CMS $41,300
Inland Empire Health Plan   2015 CMS $256,950
InnovaCare, Inc.   2013 CMS $49,710
Kaiser Foundation Health Plan, Inc. Kaiser Permanente healthcare services 2017 CMS $45,900
Lifetime Healthcare, Inc.   2014 CMS $447,450
Local Initiative Health Authority for L.A. County   2014 CMS $234,850
Local Initiative Health Authority of LA County   2019 CMS $43,600
Medical Card System, Inc.   2016 CMS $652,650
Medical Card System, Inc.   2013 CMS $23,410
Medical Mutual of Ohio Medical Mutual of Ohio health insurance 2017 CMS $222,300
Mercy Health Plans CVS Health retail-pharmacies 2010 CMS $16,970
Download results as CSV or XML
(*): 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.