How info likely leading to massive settlement almost stayed hidden
How info likely leading to massive settlement almost stayed hidden. Huge healthcare corps still seeking to keep much of it secret.
Ohio Medicaid chief dodges when asked to explain business with company AG said “fleeced” taxpayers
Ohio Medicaid Director Maureen Corcoran didn’t give many straight answers Wednesday when she was pressed about why her agency restarted a massive contract with a company that earlier this year was accused of “fleecing” taxpayers out of tens of millions of dollars. At one point, Corcoran even invoked lawyer-client privilege to avoid answering a question. […]
Medicaid contractor that settled fraud suit reiterates that it admits no wrongdoing
The health care giant that set aside $1.1 billion to settle claims that it defrauded state health programs for the poor wants to be clear: It doesn’t admit it did anything wrong. St. Louis-based Centene operates Buckeye Health Plan in Ohio. The company is one of five currently providing managed care for the 25% of […]
Long-time DeWine friend lobbied for corporation accused of fraud
DeWine friend lobbied for corporation accused of fraud. Company's massive business with Ohio was restarted despite the allegations.
Six months after claiming massive fraud, Ohio awards contract worth billions to health giant
Ohio is again in business with a company that only recently it was accusing of massive fraud. The state’s leaders seem reluctant to explain why. Two months ago, Ohio Attorney General Dave Yost announced that Centene, the largest Medicaid managed-care provider in the United States, would pay Ohio $88.3 million to settle a lawsuit claiming […]
Medicaid provider’s profits surge just after it announces massive settlement
The business of administering the government health program for the poor continues to be very, very good for Centene — even after it announced it would pay states more than $1 billion to settle claims that the St. Louis-based company had defrauded them. In addition, its leader says he confident that his company will resume […]
Court ruling could spotlight questionable practices by health care companies doing huge business with Ohio, other states
When you’re emailing about medical billing, it’s probably best not to write about using “dummy codes” to “bury” administrative fees. But two huge health care companies did just that between 2012 and 2016, and now it’s an issue that is poised to get new attention. Ohio is already suing one of the companies, claiming improper […]
Lavishly paid and unapologetic. Company at center of Medicaid scandal focuses on profits.
Coordinating government health care for poor people has been very, very good to Michael F. Neidorff. By one measure, he’s the country’s top-paid health care executive, making $25 million a year. That means the Centene chief makes as much in a year as 1,409 of the best paid of the 25 million Americans for whom his company […]
Proposed budget changes said to threaten Medicaid reforms
The Republican leadership of the Ohio Senate is attempting to give an Ohio-based Medicaid managed-care company a do-over after it failed badly in a competitive process to keep its business with the state. Critics say the do-over — which was apparently lobbied for by the previous Medicaid director — would at least delay a series […]
Analysis: Billion-dollar whitewash?
In the wake of a blockbuster settlement of fraud claims, the top executive at the nation’s biggest Medicaid contractor was eager Wednesday to put the matter behind the company, which derives most of its revenue from taxpayers. But even though executives repeatedly used some form of the word “transparency,” they seem to be trying to […]
Centene agrees to settle Medicaid claims with Ohio, Mississippi for $143 million
In what could be a harbinger of more settlements, Medicaid managed-care contractor Centene on Monday settled potential fraud claims by Ohio and Mississippi for $88.3 million and $55 million, respectively. Ohio is the only state to file suit so far alleging improper double billing through Centene’s pharmacy middlemen. But Mississippi, Kansas, Arkansas, Georgia, Oklahoma and […]
Additional corporations reported to be facing states’ drug-middleman probes
More states are investigating more companies regarding their conduct in the multi-billion dollar business of managing drug transactions, the Wall Street Journal reported Tuesday. The reporting comes after the Capital Journal in April reported that attorneys general in Ohio, Kansas, Mississippi and Arkansas were investigating health care giant Centene. Ohio Attorney General Dave Yost has […]