Ohio sues healthcare giant, accusing company of overcharging Medicaid

“This conspiracy to obtain Medicaid payments by deceptive means stops now,” Attorney General Dave Yost said in a news release.

COLUMBUS – Ohio Attorney General Dave Yost claims in a lawsuit that a health care giant raised the prices of taxpayer-funded care to maximize the company’s profits.

Yost said Ohio is suing Centene Corp. in Franklin County Common Pleas Court, arguing that its subsidiary, Buckeye Health Plan, used a network of subcontractors to provide pharmaceutical benefits to be able to represent wrong the costs of the pharmacy. This, Yost said, led to millions of dollars in overpayments from the Ohio Department of Medicaid.

“Corporate greed has led Centene and its wholly owned subsidiaries to steal millions of taxpayers. This conspiracy to obtain Medicaid payments through deceptive means stops now, “Yost said in a press release.” My office has worked tirelessly to untangle this complex pattern and we are confident that Centene and its affiliates have materially breached their obligations both against the Department of Medicaid and the state of Ohio. “

Yost said an investigation found that the company has filed refund requests for amounts already paid to third parties. The investigation also claimed that the company artificially inflated dispensing rates and failed to accurately disclose the true cost of pharmacy services, including discounts received, to the Ohio Department of Medicaid.

“Centene’s actions are deeply troubling and have a direct effect on the most vulnerable Ohio residents,” Yost said. “Centene has broken trust with the state of Ohio and I intend to hold this company accountable for its deceptive practices.”

Centene is headquartered in St. Louis.

The lawsuit was filed under seal due to confidentiality and a nondisclosure agreement between the company and the Ohio Department of Medicaid. In a tweet, Yost said he hoped the court would quash the complaint after Centene responded.

“This is the public’s business, [and] the public has a right to know, “Yost tweeted.

– Story courtesy of The Center Square.