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WellCare faces whistleblower case over denying payment for hospital stays

By Tampa Bay Times  
   November 07, 2014

Six former administrators for WellCare Health Plans say they were fired in late 2012 for resisting corporate pressure to deny paying for legitimate hospital stays, according to a recently unsealed federal lawsuit. The civil lawsuit was filed in May 2013 but was unsealed last week after the federal government declined to join the case. That means the fired administrators are on their own, should the case proceed. WellCare is a major contractor for Florida's Medicaid and Medicare patients enrolled in managed care plans, and one of the Tampa Bay area's largest public companies. It has been trying to move beyond a well-publicized federal fraud investigation that ignited in 2007 with an FBI raid of its headquarters.

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