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Healthcare – Case Against Medicaid Managed Health Care Plan Contractor

Outcome: $26 million settlement | $3.1 million whistleblower awards

Tycko & Zavareei LLP partner Eva Gunasekera, while working for the United States Department of Justice, helped obtain a $26 million settlement against a Medicaid managed health care plan contractor in a case brought by whistleblowers.  The contractor allegedly failed to provide screening, assessment, and case management services for adults and children with special health care needs and submitted false data to a cash-strapped state Medicaid program to avoid penalties.  The former employees of the contractor who shed light on the alleged scheme, and provided the Department of Justice valuable information, received awards of over $3.1 million.

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