Whistleblower’s complaint about WellCare Health Plans unsealed
Miami Herald/Health News Florida, June 28, 2010
The complaint that launched a federal investigation of WellCare Health Plans four years ago by a whistleblower within the company has now been unsealed, and the picture it paints of the state's largest Medicaid HMO contractor is grim. The complaint, filed by former WellCare financial analyst Sean J. Hellein, portrays a company so ethically challenged that it rewarded employees who dumped hundreds of sick newborns and terminally ill patients from the membership rolls, thereby pumping up profits by millions of dollars. It describes a company that embraced fraudulent accounting as a business model, eventually stealing between $400 million and $600 million from Medicare and Medicaid programs in several states, perhaps most of it from Florida.
Most Viewed
Most Emailed
- Urologists 'Outraged' Over PSA Test Challenge
- New Facebook Page Gathers Stories of Medical Harm
- Luxury Hospital Facilities Put Patient Experience First
- How Rivals Built an ACO
- Five Hospitals Share Three Secrets to Improve Knee Surgery Outcomes
- Health Insurance Exchanges Put Defined Benefits to the Test
- Heartland Health Joins Mayo Clinic Network
- TN Health System Charts Its Own Course
- Beleaguered Fairview Health CEO to Retire in July
- E-book Revolution Changes, Challenges Healthcare

