Overview: The US government has filed a complaint against Inland Empire Health Plan (IEHP) for allegedly making false statements and retaining overpayments to Medi-Cal, California’s Medicaid Program. The complaint alleges that IEHP violated the False Claims Act by making false statements to Medi-Cal and knowingly retaining overpayments. IEHP’s counsel has called the complaint a “misguided civil legal dispute” and has stated that they look forward to taking the case to court.
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Breanna Reeves
The U.S. government has filed a complaint against Inland Empire Health Plan (IEHP) for allegedly making false statements and retaining overpayments to Medi-Cal, California’s Medicaid Program.
According to a press statement released on Sept. 17 by the U.S. Justice Department, the complaint alleges that IEHP violated the False Claims Act by making false statements to Medi-Cal and knowingly retaining overpayments.
“Today’s lawsuit against IEHP shows our steadfast commitment to hold accountable insurers that brazenly compromise the Medicaid system,” stated Acting U.S. Attorney Bill Essayli. “We will take every measure to restore integrity and accountability to the Medicaid system and ensure that patient care – not financial gain – is the primary focus of our health care system.”
Beginning in January 2014, Medi-Cal was expanded to cover the previously uninsured “Medi-Cal Expansion” population: adults between the ages of 19 and 64,...
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