10/27/2026
Independence Blue Cross (IBX) has agreed to pay $22.5 million to resolve allegations that it violated the False Claims Act. The United States alleges that IBX submitted inaccurate and untruthful patient diagnosis data to the Centers for Medicare & Medicaid Services (CMS) that inflated the risk adjustment payments it received from CMS, knowingly failed to withdraw the inaccurate and untruthful diagnosis data and repay CMS, and falsely certified in writing to CMS that the data was accurate and truthful. Read a story from Fierce Healthcare and a Department of Justice press release.