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WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
The announcement resulted in an investigation by regulators from the Federal and California governments. [94] Anthem Blue Cross gained worldwide media attention and became a poster child for the problem of rising cost of health care in the U.S. [ 94 ] The rate increase came one year after Anthem had raised rates 68% on individual policy holders.
Two Kentucky pharmacists who allegedly fraudulently billed insurance programs more than $1 million have been charged in an investigation of health care fraud.
Legal claims against the pharmaceutical industry have varied widely over the past two decades, including Medicare and Medicaid fraud, off-label promotion, and inadequate manufacturing practices. [ 3 ] [ 4 ] With respect to off-label promotion, specifically, a federal court recognized off-label promotion as a violation of the False Claims Act ...
In France, the Caisse d'allocations familiales reported in 1994 an estimated amount to 2,000 to 3,000 fraud cases per year, which was considered low. [10]: 36 When asked whether they would take a black market job while receiving unemployments benefits, more than 85% answered yes if the risk of audit was 1 ⁄ 6, close to 50% if the risk was 1 ⁄ 4, and 6% if the risk was 1 ⁄ 2.
The suit also alleged that Centene concealed that Health Net owed approximately $1B in past tax liabilities to California and was under investigation for Medicare fraud at the time of the acquisition. [39] In 2022 Operose Health had almost 600,000 NHS patients and was the largest supplier of GP services to the NHS.
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