Landmark Ruling in RICO Lawsuit Against Centene Corporation, Alleging the Company Defrauds Consumers through Sale of Its Ambetter Health Insurance Plans
CHICAGO, May 6, 2024 /PRNewswire-PRWeb/ -- U.S. District Court Judge Nancy L. Maldonado ruled that Plaintiffs in Havrilla v. Centene Corp. (N.D. Ill.) could proceed on the majority of their claims against Centene Corporation and two of its subsidiaries, Centene Management Company, LLC, and Celtic Insurance Company.
- In a landmark ruling, U.S. District Court Judge Nancy L. Maldonado allowed the majority of claims in the RICO lawsuit against Centene Corporation to proceed, asserting that the plaintiffs provided sufficient evidence of a multi-billion-dollar scheme to defraud consumers through Ambetter health insurance plans.
- This means that those (primarily low income) consumers who purchase Ambetter health insurance "run into difficulty finding healthcare providers who actually accept the insurance—including providers that are listed on the Ambetter plans' websites and provider directories."
- Defendants had moved to dismiss the complaint on grounds of lack of subject-matter jurisdiction and failure to state a claim.
- "No company should be allowed to abuse the healthcare system and take advantage of consumers in the way that we believe Centene has.