跳到正文
WorldBrand.AI

Centene公司

争议事件

以下收录公开来源中与该品牌相关的争议事件。列出一条并不表示过错已经证实。

返回词条共 10 条

  1. 2022

    Operose Health患者安全批评

    Centene的英国子公司Operose Health因人员配备水平、使用医师助理以及检测结果和医院信件的积压而受到批评。Operose表示，其大多数诊所获得了良好或杰出的监管评级。

    来源

  2. 2021

    Health Net Federal Services索赔指控

    Health Net Federal Services同意支付9700万美元，以解决向退伍军人事务部提交重复或虚增索赔的指控。

    来源

  3. 2021

    州医疗补助药房和解

    Centene及其Envolve药房福利运营部门与多个州就医疗补助药房计划中的涉嫌多付款项及相关做法达成和解。

    来源

  4. 2021

    Centene 就俄亥俄州 Medicaid 超额计费诉讼达成和解

    和解

    在被指采用不透明、多层级计费流程并多留州 Medicaid 药房福利资金后，Centene 与俄亥俄州达成 8830 万美元和解。该和解解决了围绕该州 Medicaid 药房福利项目的争议。据消息来源，该公司在和解中未承认有不当行为。

    来源摘录

    • The insurance giant didn't admit to doing anything wrong.
    • The largest Medicaid contractor in the U.S. settled with Ohio for $88.3 million, following accusations that it set up "an opaque and multi-layered billing process" to keep a larger cut of the state's money than it should have when paying for pharmacy benefits.
    • The contractor Buckeye Health Plan, subsidiary of Centene, manages pharmacy benefits and pays claims to pharmacists on behalf of about 435,000 Ohioans with Medicaid.
    来源

  5. 2021

    Centene与俄亥俄州和密西西比州达成和解

    和解

    Centene宣布与俄亥俄州和密西西比州总检察长达成无过错协议，以解决两州针对其子公司Envolve Pharmacy Solutions提供药品福利服务提出的索赔。根据协议，Centene将向俄亥俄州支付8,800万美元，向密西西比州支付5,500万美元。Centene否认对和解协议所述做法承担责任。

    当事方说明的目的. 解决俄亥俄州和密西西比州针对Envolve Pharmacy Solutions所提供服务提出的索赔。

    品牌回应

    • 否认 — Centene

      In the settlements, the Company denies any liability for these practices.

    来源摘录

    • Healthcare firm Centene Corp. (CNC) announced Monday that it has reached no-fault agreements with the Attorneys General of Ohio and Mississippi to resolve claims made by the states related to services provided by Envolve Pharmacy Solutions, Inc., its pharmacy benefits manager or PBM subsidiary.
    • In the settlements, the Company denies any liability for these practices.
    • Under the terms of these agreements, Centene will pay $88 million to Ohio and $55 million to Mississippi.
    来源

  6. 2021

    Centene就阿肯色州医疗补助项目达成1520万美元和解

    和解

    阿肯色州总检察长Leslie Rutledge宣布与Centene Corporation及其三家子公司达成1520万美元和解，涉及Envolve Pharmacy Solutions被指未披露折扣和配药费、向阿肯色州医疗补助项目报告虚高药房成本。Centene须分两期付款，并提供药品福利理赔账目。

    来源摘录

    • Centene must pay the $15 million in two installments within the next 13.5 months. It also must provide an accounting of all pharmacy benefit claims, including the amount paid to pharmacies.
    • The settlement is also with subsidiaries Arkansas Total Care, Centene Management Company and Envolve Pharmacy Solutions.
    • Attorney General Leslie Rutledge announced today a $15.2 million settlement with Centene Corporation and three subsidiaries for overcharging the state Medicaid program for medication.
    来源

  7. 2020

    阿肯色州陪审团裁定 Centene 支付 940 万美元

    裁决

    阿肯色州陪审团裁定向 TeamHealth 旗下的 Southeastern Emergency Physicians 支付 940 万美元，认定 Centene Corporation 及其保险子公司少付医生团体款项并违反合同。最终金额预计还会因律师费和利息而增加。

    来源摘录

    • the jury in U.S. District Judge Brian S. Miller's court found that the defendants grossly underpaid and breached their contract with the emergency room doctors.
    • A six-person jury on Tuesday awarded a $9.4 million verdict on behalf of Southeastern Emergency Physicians, LLC, a group of emergency room doctors that is an affiliate of TeamHealth Inc., finding that Centene Corporation and its insurance subsidiaries systematically tried to strip the doctors' group of most of their pay.
    来源

  8. 2018

    Ambetter网络接入集体诉讼

    一项集体诉讼指控Ambetter参保者被误导关于计划福利，并且难以找到愿意接受其保险的提供者。

    来源

  9. 2018

    Health Net收购诉讼

    两家养老基金起诉Centene，指控Health Net收购造成公司损害，且与Health Net相关的负债和调查未得到充分披露。

    来源

  10. 2014

    德克萨斯州医疗补助癌症手术覆盖争议

    据报道，Centene旗下的德克萨斯州医疗补助计划Superior HealthPlan拒绝承保一名婴儿在德克萨斯儿童医院的脑癌手术。在公开报道后，该决定被撤销，手术费用得到覆盖。

    来源