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.
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Company Parent Parent Major Industrysort icon Year Agency Penalty Amount
Medical Card System, Inc.   2016 CMS $652,650
Clover Health   2016 CMS $106,095
Universal Care, Inc.   2016 CMS $62,950
Independence Health Group, Inc.   2015 CMS $206,400
Care N' Care Insurance Company, Inc.   2015 CMS $327,100
SelectHealth, Inc.   2015 CMS $174,800
The Carle Foundation   2015 CMS $34,445
Fallon Community Health Plan   2015 CMS $52,045
Atrio Health Plans   2015 CMS $69,405
New West Health Services   2015 CMS $204,200
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
Aultman Health Foundation   2014 CMS $93,700
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
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
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
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
Alexian Brothers Community Services   2013 CMS $25,000
Silver Star Health Network   2013 CMS $25,000
Public Health Trust of Miami-Dade   2013 CMS $175,000
The New York State Catholic Health Plan, Inc.   2012 CMS $75,000
Physician's United Plan, Inc.   2012 CMS $50,000
Health Alliance Plan   2012 CMS $75,000
Triple-S Salud, Inc.   2012 CMS $350,000
Care 1st Health Plan   2012 CMS $50,000
Blue Cross Blue Shield of Tennessee   2011 CMS $20,000
Blue Cross of Idaho Health Services, Inc.   2011 CMS $60,000
Geisinger Indemnity Insurance Company   2011 CMS $20,000
The Regence Group   2011 CMS $100,000
Alliance Health and Life Insurance Co.   2010 CMS $41,660
First Medical Health Plan   2010 CMS $57,240
Blue Cross of Idaho Health Services, Inc.   2010 CMS $31,800
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Community Care HMO, Inc.   2017 CMS $760,500
Peoples Health, Inc   2017 CMS $83,250
FirstHealth of the Carolinas, Inc.   2017 CMS $28,975
Independent Care Health Plan, Inc.   2017 CMS $321,900
MVP Health Plan, Inc.   2017 CMS $85,200
AvMed, Inc.   2017 CMS $764,375
Presbyterian Health Plan   2017 CMS $775,375
Caidan Enterprises, Inc.   2016 CMS $57,715
Health Partners Plans, Inc.   2016 CMS $32,600
Health Plan of San Mateo   2016 CMS $49,725
Health Care Service Corporation   2016 CMS $115,625
Quality Health Plans, Inc.   2010 CMS $509,000
Fallon Community Health Plan   2017 CMS $344,100
Elderplan, Inc.   2017 CMS $132,000
Senior LIFE York, Inc.   2017 CMS $37,396
Florida Health Care Plan, Inc.   2018 CMS $23,800
Cambia Health Solutions, Inc.   2018 CMS $65,800
UCare Minnesota   2018 CMS $61,500
Guidewell Mutual Holding Corporation   2018 CMS $30,900
Vantage Holdings, Inc.   2017 CMS $98,500
BlueCross BlueShield of Alabama   2017 CMS $27,000
Affinity Health Plan, Inc.   2017 CMS $35,300
BlueCross BlueShield of Tennessee   2017 CMS $74,400
USAble Mutual Insurance Company   2017 CMS $67,500
MVP Health Plan, Inc.   2018 CMS $44,400
Agewell New York, LLC   2019 CMS $39,200
Senior LIFE Lehigh Valley, Inc.   2019 CMS $38,159
Commonwealth Care Alliance, Inc.   2019 CMS $42,900
Neighborhood Health Plan of Rhode Island   2019 CMS $29,800
Local Initiative Health Authority of LA County   2019 CMS $43,600
Santa Clara County Health Authority   2019 CMS $39,000
Arkansas Superior Select, Inc.   2019 CMS $49,600
Community PACE at Home, Inc.   2019 CMS $38,159
Franciscan ACO, Inc.   2019 CMS $38,159
Blue Shield of California Promise Health Plan   2020 CMS $148,506
Triple-S Management Corporation   2020 CMS $329,872
Health Care Service Corporation   2020 CMS $381,272
Tufts Health Plan, Inc.   2020 CMS $28,302
Solis Health Plans, Inc.   2019 CMS $41,552
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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.