Centene spent $307.5M to settle state overbilling allegations in 2022

Centene has paid at least $307.5 million in 2022 to settle allegations it overbilled state Medicaid programs for pharmacy services. 

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Nearly 54 percent of that total comes from a settlement with Texas, according to figures disclosed in news releases from the states’ attorneys general. Centene has not admitted fault in the settlements. 

“This no-fault agreement reflects the significance we place on addressing their concerns and our ongoing commitment to making the delivery of healthcare local, simple and transparent,” Centene told Becker’s in a September statement regarding its settlement with Texas. “Importantly, this allows us to continue our relentless focus on delivering high-quality outcomes to our members.” 

Here are the seven states that Centene has settled with this year:

Centene settled allegations from five other states in 2021: Arkansas, Kansas, Illinois, Mississippi and Ohio. 

Other states have also settled with Centene, but those states and settlement amounts have not been publicly disclosed, according to Kaiser Health News

According to a 2021 Securities and Exchange Commission report, Centene created a $1.25 billion reserve to pay for these settlements. 

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