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Saturday, January 11, 2025

Medicaid Payment Firm Defeats Whistleblower's False Claims Suit - Bloomberg Law

Health Management Systems Inc. stopped a whistleblower’s False Claims Act suit alleging that the company engaged in conduct that deprived state Medicaid agencies of funds, a Texas federal district court said.

Whistleblower and former employee Christopher Frey didn’t demonstrate that Health Management improperly avoided an obligation to pay the government, Judge Jane J. Boyle of the US District Court for the Northern District of Texas said in a Monday opinion, granting the company summary judgment.

Health Management contracts with several state Medicaid agencies to provide third-party liability services. Health Management identifies health-care services that Medicaid improperly paid, and then bills ...

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