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No Fault, but Millions to Pay in Pharmacy Benefits Settlements with Ohio and Mississippi

Ohio AG Dave Yost and Mississippi AG Lynn Fitch reached no-fault agreements with healthcare company Centene Corporation and its subsidiaries (collectively, “Centene”), over allegations that two of its subsidiaries—Buckeye Health Plan Community Solutions, Inc. (“Buckeye”) and Envolve Pharmacy Solutions, Inc. (“Envolve”)—overbilled the states’ Medicaid programs for pharmacy services, in violation of provider agreements with the…

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Medical Device Company Settles with Seven States Over Alleged Kickbacks and False Claims

Medical device company Medicrea USA, Inc. and its corporate parent Medicrea International (collectively, “Medicrea”) settled with California, Colorado, Florida, Georgia, North Carolina, New York, and Texas, and the U.S. Department of Justice (“DOJ”), over allegations that it paid kickbacks to physicians in violation of the federal Open Payment Program, Anti-Kickback Statute, and state false claims…

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Allegedly Lax Sanitary Practices Land Dental Clinics in $2.7 Million False Claims Settlement

New York AG Letitia James and the federal Department of Justice acting on behalf of the Department of Health and Human Services reached a settlement agreement with Upper Allegheny Health System (“UAHS”), the operator of several dental clinics, to resolve allegations that it billed Medicaid for services it did not perform in violation of the…

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California Attorney General Weighs In on Coverage for Mental Health

California AG Rob Bonta filed an amicus brief in the U.S. Court of Appeals for the Ninth Circuit in support of plaintiffs-appellees in Wit v. United Behavioral Health (“UBH”), where the district court found that plaintiffs-appellees were improperly denied coverage for mental health and substance use disorder treatment by mental health administrator UBH. The district…

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