Centene to Pay $215 Million to California over Medicaid Overbilling Allegations

Lori Kalani, Bernard Nash
Cozen O'Connor
Contact
LinkedIn
Facebook
X
Send
Embed

Cozen O'Connor

  • California AG Rob Bonta settled with pharmacy benefit manager (PBM) Centene Corporation and its subsidiaries in connection with alleged overcharges by Centene to California’s Medi-Cal program.
  • AG Bonta alleges that Centene overcharged the Medi-Cal system by reporting inflated prescription drug costs. In particular, he alleges that Centene leveraged its PBM contracts to save its managed care plans $2.70 per prescription drug claim over a two-year period, but failed to disclose or pass on those discounted fees to Medi-Cal.
  • Under the terms of the settlement, Centene will pay $215 million to the state, which AG Bonta represents is twice the value of the inflated price reporting.
  • California is the latest in a string of states to settle with Centene over similar allegations. We recently reported on the company’s $66.5 million settlement with Indiana.
Send Print Report

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Cozen O'Connor | Attorney Advertising

Written by:

Cozen O'Connor
Cozen O'Connor
Contact
more
less

Cozen O'Connor on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
Sign Up Log in
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide