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Humana-Owned Villages Health Agrees to $542M Medicare Overbilling Settlement

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Sig5.90Sen-7.60Env0.00Soc-3.10Gov-9.30

Federal regulators said Humana-owned Villages Health submitted false diagnosis codes for Medicare Advantage patients from 2020 to 2024 to raise reimbursement. The provider identified the overbilling to the government in late 2024 and later filed for bankruptcy. Humana bought the provider for $68 million. Regulators also cited similar DOJ settlements with Monogram and Complete Health and found about half of Villages’ codes unsupported by 2024.

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