Centene Washington state Medicaid fraud case settled

Centene pays $33 million to settle allegations its now-defunct pharmacy revenue supervisor overcharged the Washington state Medicaid program for treatment. 

The nation’s largest Medicaid insurer pays $18.9 million to the Evergreen State and $thirteen million to the federal authorities to place an finish to allegations of fraud by its former PBM, Washington legal professional fundamental Bob Ferguson (D) introduced Wednesday. Centene has settled with eleven states over accusations its pharmacy advantages arm, Envolve, inflated expenses, in maintaining with a information launch. The legal professional fundamental’s office declined to contact upon whether or not it was investigating completely different PBMs over associated allegations. 

Centene has publicly disclosed $312 million in no-fault agreements with eight states: Arkansas, Illinois, Kansas, New Hampshire, Mississippi, New Mexico, Ohio and Washington. Centene has additionally inked settlement gives with Louisiana, Nebraska and Nevada, a spokesperson for Ferguson’s office wrote in an e mail. California regulators are investigating Centene over associated fraud claims.

Attorneys fundamental in these states did not immediately reply to interview requests about any agreements with Centene. Centene did not immediately reply to an interview request on extra settlements

Centene reserved $1.25 billion to settle PBM fraud allegations. the agency exited the pharmacy enterprise in July when it purchased Magellan Rx and PANTHERx unusual in separate transactions collectively valued at $2.eight billion. By the prime of the 12 months, the insurer plans to finalize a contract with an out of doorways PBM  to handle its $forty billion in annual pharmaceutical spending. 


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