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Is 935 million enough to send a message, we may soon find out

Great article regarding the 7 years of CMS non compliance - all under Gail, Fiona and Gloria’s watch. Be clear this is not a difference of opinion on what it takes to be CMS compliant, I believe there were decisions made that it was easier to just fake it and see what they could get away; it was cheaper to risk non compliance than to spend the money to get the data in order. Why won’t they let Pete testify? Doesn’t sound transparent or ethical and it is not good leadership. The Board members who weren’t part of the FA stage need to hold those that were accountable and make some changes cause they are about to enter the FO stage.

https://www.healthcare-brew.com/stories/2026/05/04/elevance-estimates-935m-avoid-CMS-sanctions


CMS Sanction

https://www.cms.gov/medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/elevancehealthsanction02272026

ElevanceHealthSanction02272026

Dynamic List Information
Dynamic List Data
Date Action Taken
2026-02-27
Organization Name
Elevance Health, Inc.
Action Taken
Suspension of Enrollment
Basis for Action
Contract Administration
Effective Date
2026-02-27