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 Industry Yearsort icon Agency Penalty Amount
Blue Shield of California Promise Health Plan   2020 CMS $148,506
WellCare Health Plans, Inc. Centene healthcare services 2020 CMS $45,156
Triple-S Management Corporation   2020 CMS $329,872
Health Care Service Corporation   2020 CMS $381,272
Tufts Health Plan, Inc.   2020 CMS $28,302
Humana Inc. Humana healthcare services 2020 CMS $257,262
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
CenterLight TeamCare CenterLight Health System healthcare services 2019 CMS $38,159
Community PACE at Home, Inc.   2019 CMS $38,159
Franciscan ACO, Inc.   2019 CMS $38,159
WellCare Health Plans, Inc. Centene healthcare services 2019 CMS $373,800
Solis Health Plans, Inc.   2019 CMS $41,552
Merit Health Insurance Company Magellan Health healthcare services 2018 CMS $62,100
Florida Health Care Plan, Inc.   2018 CMS $23,800
Cambia Health Solutions, Inc.   2018 CMS $65,800
Henry Ford Health System Henry Ford Health System healthcare services 2018 CMS $43,300
UCare Minnesota   2018 CMS $61,500
Guidewell Mutual Holding Corporation   2018 CMS $30,900
Merit Health Insurance Company Magellan Health healthcare services 2018 CMS $1,368,200
SSM Healthcare Corporation SSM Health healthcare services 2018 CMS $36,400
Baylor Scott & White Holdings Baylor Scott & White Health healthcare services 2018 CMS $40,000
Anthem, Inc. Anthem healthcare services 2018 CMS $243,200
MVP Health Plan, Inc.   2018 CMS $44,400
Community Care HMO, Inc.   2017 CMS $760,500
Peoples Health, Inc   2017 CMS $83,250
SCAN Health Plan SCAN Health Plan healthcare services 2017 CMS $127,950
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
WellCare Health Plans, Inc. Centene healthcare services 2017 CMS $1,174,300
AvMed, Inc.   2017 CMS $764,375
Centene Corporation Centene healthcare services 2017 CMS $31,950
Presbyterian Health Plan   2017 CMS $775,375
Merit Health Insurance Company Magellan Health healthcare services 2017 CMS $59,600
Fallon Community Health Plan   2017 CMS $344,100
CHRISTUS Health Plan CHRISTUS Health healthcare services 2017 CMS $7,080
Elderplan, Inc.   2017 CMS $132,000
Senior LIFE York, Inc.   2017 CMS $37,396
Baylor Scott & White Holdings Baylor Scott & White Health healthcare services 2017 CMS $39,300
Vantage Holdings, Inc.   2017 CMS $98,500
BlueCross BlueShield of Alabama   2017 CMS $27,000
Indiana University Health Plans, Inc. Indiana University Health Inc. healthcare services 2017 CMS $41,300
Medical Mutual of Ohio Medical Mutual of Ohio healthcare services 2017 CMS $222,300
Affinity Health Plan, Inc.   2017 CMS $35,300
Kaiser Foundation Health Plan, Inc. Kaiser Permanente healthcare services 2017 CMS $45,900
BlueCross BlueShield of Tennessee   2017 CMS $74,400
USAble Mutual Insurance Company   2017 CMS $67,500
Excellus Health Plan, Inc. Excellus BlueCross BlueShield healthcare services 2017 CMS $105,400
Express Scripts Holding Company Cigna healthcare services 2017 CMS $213,000
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
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Express Scripts Medicare Cigna healthcare services 2016 CMS $5,325
UnitedHealthcare Medicare & Retirement UnitedHealth Group healthcare services 2016 CMS $2,498,850
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
Healthfirst, Inc. Healthfirst healthcare services 2016 CMS $38,125
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
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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.