The United States government has filed a complaint against Inland Empire Health Plan, also known as IEHP, for allegedly making false statements and retaining overpayments.
The complaint was made under the False Claims Act, according to a news release from the U.S. Department of Justice. It was filed against the Local Initiative Health Authority for Inland Empire Health Plan, doing business as IEHP.
"The government's complaint alleges that IEHP violated the False Claims Act by making false statements to Medi-Cal and knowingly retaining overpayments," the release said. Medi-Cal is California's Medicaid program, which works in conjunction with the state's Department of Health Care Services.
IEHP operates out of Rancho Cucamonga and has over 1.5 million members. They are the largest not-for-profit Medicare-Medicaid public health plan in the U.S., according to their website.
"Today's lawsuit against IEHP shows our steadfast commitment to hold accountable insurers that brazenly compromise the Medicaid system," said a statement from Acting United States 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."
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