Alleged Exaggeration of Patients’ Illness to Overcharge Medicare Advantage Plans and Boost Profits

The late Dr. Darren Sewell, M.D. alleged insurer Freedom Health Inc.’s Medicare Advantage plans overbilled Medicare by exaggerating how sick patients were. Freedom Health Inc. and its former Chief Operating Officer Siddhartha Pagidipati agreed to pay $32.5 million to settle. Our lawyers supported Dr. Sewell’s brother in his quest to carry on Dr. Sewell’s important work by bringing his qui tam case to a successful resolution. To honor Dr. Sewell’s legacy, our lawyers worked with David Sewell to publish his brother’s whistleblower story in a 2019 New Yorker article The Personal Toll of Whistle-blowing as well as the episode Taking Advantage of the PBS show Playing by the Rules: Ethics at Work.

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