Managed health care company Centene will pay $19 million to Washington to resolve allegations that it overcharged the state Medicaid program.
The state Health Care Authority used Centene for pharmacy benefit management services such as negotiating prescription drug prices and other pharmacy-related costs.
An investigation into pharmacy benefit managers by the state’s Office of the Attorney General and Health Care Authority started in 2019 after a whistleblower provided information that some benefit managers were not reporting true pharmacy benefits and services costs. Centene allegedly failed to pass on discounts it received to the state Medicaid program and inflated fees, according to a news release from state Attorney General Bob Ferguson’s office.
The $19 million payment will go to the state’s Medicaid Fraud Penalty Account. As part of the resolution, an additional $13 million from Centene will be paid to the federal government for administration of Medicaid in Washington state.More news from KIRO 7
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