Florida-Based Wellcare Health Plans

CT 2012 Municipal Government
DOJ False Claims Act Conspiracy
Penalty
$252.5 million

Outcome

Florida-Based Wellcare Health Plans Agrees to Pay $137.5 Million to Resolve False Claims Act Allegations

Details

Florida-Based Wellcare Health Plans — DOJ Enforcement (2012)

DOJ took enforcement action against Florida-Based Wellcare Health Plans in CT in 2012 involving false claims act, conspiracy violations in the Municipal Government sector.

Penalty: $252.5 million

Violation types: False Claims Act, Conspiracy
Entity type: Municipality
Penalty type: Criminal
Location: CT

Source: DOJ Press Release — Florida-Based Wellcare Health Plans Agrees to Pay $137.5 Million to Resolve False Claims Act Allegations

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted.

Source: DOJ Press Release — Florida-Based Wellcare Health Plans Agrees to Pay $137.5 Million to Resolve False Claims Act Allegations

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