Latest News on the Medicare Advantage Program

$24.4 million in Maine Medicare fraud recovered, mostly from Martin's Point Health Care: DOJ

U.S. Attorney for the District of Maine Darcie McElwee announced Wednesday that her office collected a total of $24.4 million in civil and criminal actions in fiscal year 2023.

Almost all of the $23 million collected by the Maine U.S. Attorney’s office from civil actions resulted from a $22.5 million settlement in July 2023 in United State of America v . Martin’s Point Health Care, Inc.

The settlement with Portland-based Martin’s Point was the largest Medicare fraud settlement in state history and resolved allegations that the medical clinic violated the False Claims Act by submitting inaccurate diagnosis codes for to their Medicare Advantage plan enrollees in order to inflate their Medicare reimbursements.

In fiscal year 2023, an additional $1.39 billion was collected by the US Attorney’s Office as a result of criminal actions, including criminal debts, fines and asset forfeitures.

Seized property is deposited into the Department of Justice’s Asset Forfeiture Fund and is used to restore funds to crime victims and for other law enforcement purposes.

“The Crime Victims Fund is a vital resource that helps fund state and local programs that provide services to victims of crime, and is funded by the work done in U.S. Attorney’s offices across the country, including our district,” U.S. Attorney McElwee said Wednesday. .

“Ensuring that America’s taxpayers and victims of crime receive the money that is owed to them and that is needed to help with their recovery is a priority for our office,” McElwee said.

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