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Humana health plan overcharged Medicare by nearly $200 million, federal audit finds A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. The Health and Human Services Office of Inspector General s recommendation to repay, if finalized, would be by far the largest audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general. This [money] needs to come back to the federal government, he said in an interview. Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials “to resolve this review,” and noted the recommendations “do not represent final determinations, and Humana will have the right to appeal.”  

United statesMario baezHelen stojicRichard liebermanChristopher bresetteSean oreillyMichael gerusoEmily hendersonA humana incAmerica health insuranceDepartment of justiceCenters for medicare medicaid servicesHuman services office of inspectorUniversity of texasHuman services officeInspector general