Health Net Federal Services Pays Over $97M for Overstated Billings to the VA

Health Net Federal Services LLC has paid $97,237,391 to resolve duplicate and inflated claims submitted to the VA. In 2013, Health Net entered into a $5.05 billion contract with the VA under the Patient-Centered Community Care program. In 2017, the VA OIG audited Health Net and found evidence suggesting the company had billed the VA for duplicate claims amounting to approximately $30 million and failed to reduce billings to the VA for approximately $1 million in provider rate savings, as contractually required. “The VA Office of Inspector General is strongly committed to promoting fiscal accountability throughout VA,” said VA Inspector General Michael J. Missal. “This settlement will return funds to VA programs and services that directly benefit our nation’s veterans. I applaud the teamwork and dedication that led to this significant recovery.”