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

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Centene paid at least $307.5 million in 2022 to settle allegations that state Medicaid programs overcharged for pharmacy services.

Nearly 54% of that total comes from a settlement with Texas, according to figures disclosed in press releases from state attorneys general. Centene did not acknowledge fault in the settlements.

“This no-fault agreement reflects the importance we place on addressing their concerns and our continued commitment to making healthcare delivery local, simple and transparent,” Centene told Becker’s in a September statement regarding his agreement. with Texas. “Most importantly, it allows us to continue our relentless focus on delivering high quality results to our members.”

Here are the seven states Centene settled with this year:

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

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

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

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