UnitedHealth to be investigated by Mississippi state auditor for overbilling Medicaid

The Mississippi State Auditor’s Office is investigating OptumRX, UnitedHealth Group’s pharmacy benefits manager, for allegedly overbilling the state’s Medicaid program for prescription drugs, the Clarion Ledger reported June 21.

Advertisement

Both UnitedHealth and the auditor’s office declined to comment to the publication regarding  the probe. 

The investigation comes one week after Mississippi Attorney General Lynn Fitch announced a $55 million settlement with Centene, a payer also accused of overbilling Medicaid for prescriptions.

Mississippi has been in contract with UnitedHealth since 2017. The company has made $250 million from the state’s Medicaid services since then, the article said.

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.