A CMO overpayment fact pattern recently came to light in an intervened False Claims Act qui tam case against WellCare Health Plans, Inc. In this case, Wellcare paid $137.5 million to quiet allegations that it falsely inflated the amount it claimed to be spending on medical care in order to avoid returning money to Medicaid and other programs in various states, including the Florida Medicaid and Florida Healthy Kids programs. The qui tam whistleblowers in the case received $20.75 million.
More information for whistleblowers is located at the Nolan & Auerbach, P.A. website.