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 Year Agency Penalty Amountsort icon
Express Scripts Medicare Cigna healthcare services 2016 CMS $5,325
CHRISTUS Health Plan CHRISTUS Health healthcare services 2017 CMS $7,080
Mercy Health Plans CVS Health retailing 2010 CMS $16,970
Universal American Corp. Centene healthcare services 2010 CMS $17,800
Blue Cross Blue Shield of Tennessee   2011 CMS $20,000
Aetna, Inc. CVS Health retailing 2011 CMS $20,000
Coventry Health and Life Insurance Company CVS Health retailing 2011 CMS $20,000
Geisinger Indemnity Insurance Company   2011 CMS $20,000
WellCare Health Insurance of Arizona, Inc. Centene healthcare services 2011 CMS $20,000
SilverScript Insurance Co. CVS Health retailing 2014 CMS $20,700
HealthPartners, Inc.   2014 CMS $21,800
Medical Card System, Inc.   2013 CMS $23,410
Florida Health Care Plan, Inc.   2018 CMS $23,800
Alexian Brothers Community Services   2013 CMS $25,000
Silver Star Health Network   2013 CMS $25,000
Centene Corporation Centene healthcare services 2013 CMS $25,710
BlueCross BlueShield of Alabama   2017 CMS $27,000
Tufts Health Plan, Inc.   2020 CMS $28,302
FirstHealth of the Carolinas, Inc.   2017 CMS $28,975
Neighborhood Health Plan of Rhode Island   2019 CMS $29,800
Trinity Health Trinity Health healthcare services 2016 CMS $30,000
UCare Minnesota   2014 CMS $30,000
Guidewell Mutual Holding Corporation   2018 CMS $30,900
Blue Cross of Idaho Health Services, Inc.   2010 CMS $31,800
Centene Corporation Centene healthcare services 2017 CMS $31,950
Health Partners Plans, Inc.   2016 CMS $32,600
AlohaCare   2015 CMS $32,700
The Carle Foundation   2015 CMS $34,445
Coventry Summit Health Plan CVS Health retailing 2010 CMS $34,820
Affinity Health Plan, Inc.   2017 CMS $35,300
SSM Healthcare Corporation SSM Health healthcare services 2018 CMS $36,400
Senior LIFE York, Inc.   2017 CMS $37,396
Healthfirst, Inc. Healthfirst healthcare services 2016 CMS $38,125
Senior LIFE Lehigh Valley, Inc.   2019 CMS $38,159
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
Santa Clara County Health Authority   2019 CMS $39,000
Agewell New York, LLC   2019 CMS $39,200
Baylor Scott & White Holdings Baylor Scott & White Health healthcare services 2017 CMS $39,300
Torchmark Corporation Globe Life Inc. financial services 2014 CMS $40,000
Baylor Scott & White Holdings Baylor Scott & White Health healthcare services 2018 CMS $40,000
Florida Healthcare Plus, Inc.   2014 CMS $40,890
Indiana University Health Plans, Inc. Indiana University Health Inc. healthcare services 2017 CMS $41,300
Solis Health Plans, Inc.   2019 CMS $41,552
Alliance Health and Life Insurance Co.   2010 CMS $41,660
Commonwealth Care Alliance, Inc.   2019 CMS $42,900
Henry Ford Health System Henry Ford Health System healthcare services 2018 CMS $43,300
Local Initiative Health Authority of LA County   2019 CMS $43,600
MVP Health Plan, Inc.   2018 CMS $44,400
WellCare Health Plans, Inc. Centene healthcare services 2020 CMS $45,156
Kaiser Foundation Health Plan, Inc. Kaiser Permanente healthcare services 2017 CMS $45,900
Independence Blue Cross   2013 CMS $47,945
Commonwealth Care Alliance, Inc.   2014 CMS $49,510
Arkansas Superior Select, Inc.   2019 CMS $49,600
InnovaCare, Inc.   2013 CMS $49,710
Health Plan of San Mateo   2016 CMS $49,725
Independence Blue Cross   2014 CMS $50,000
Physician's United Plan, Inc.   2012 CMS $50,000
HealthSun Health Plans, Inc. Anthem healthcare services 2012 CMS $50,000
Care 1st Health Plan   2012 CMS $50,000
USAble Mutual Insurance Company   2014 CMS $51,150
Fallon Community Health Plan   2015 CMS $52,045
Humana Insurance Company Humana healthcare services 2010 CMS $55,880
First Medical Health Plan   2010 CMS $57,240
Caidan Enterprises, Inc.   2016 CMS $57,715
Merit Health Insurance Company Magellan Health healthcare services 2017 CMS $59,600
Blue Cross and Blue Shield of Arizona, Inc.   2014 CMS $60,000
Blue Cross of Idaho Health Services, Inc.   2011 CMS $60,000
UCare Minnesota   2018 CMS $61,500
Merit Health Insurance Company Magellan Health healthcare services 2018 CMS $62,100
Universal Care, Inc.   2016 CMS $62,950
Cambia Health Solutions, Inc.   2018 CMS $65,800
USAble Mutual Insurance Company   2017 CMS $67,500
Atrio Health Plans   2015 CMS $69,405
BlueCross BlueShield of Tennessee   2017 CMS $74,400
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
Health Alliance Plan   2012 CMS $75,000
Cuatro LLC   2014 CMS $80,600
Network Health Insurance Corporation   2014 CMS $81,700
Peoples Health, Inc   2017 CMS $83,250
MVP Health Plan, Inc.   2017 CMS $85,200
Health Net, Inc. Centene healthcare services 2013 CMS $86,530
PacificSource Community Health Plans, Inc.   2015 CMS $90,000
Aultman Health Foundation   2014 CMS $93,700
Vantage Holdings, Inc.   2017 CMS $98,500
Centene Corporation Centene healthcare services 2013 CMS $100,000
The Regence Group   2011 CMS $100,000
Anthem Insurance Company & BCBSMA & BCBSRI & BCBSVT Anthem healthcare services 2014 CMS $100,950
Aetna, Inc. CVS Health retailing 2014 CMS $101,500
Indiana University Health Plan, Inc. Indiana University Health Inc. healthcare services 2015 CMS $101,675
Blue Cross of Idaho Care Plus, Inc   2016 CMS $102,820
Excellus Health Plan, Inc. Excellus BlueCross BlueShield healthcare services 2017 CMS $105,400
Clover Health   2016 CMS $106,095
Florida Healthcare Plus, Inc.   2014 CMS $113,200
Health Care Service Corporation   2016 CMS $115,625
Tenet Healthcare Corporation Tenet Healthcare healthcare services 2016 CMS $127,200
SCAN Health Plan SCAN Health Plan healthcare services 2017 CMS $127,950
Elderplan, Inc.   2017 CMS $132,000
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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.