Lieff Cabraser Announces $70.7 Million Settlement of Qui Tam Misuse of Government Funds Litigation with Gold Coast Health Plan and Certain California Medical Providers
Retrieved on:
Friday, August 19, 2022
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Under medical loss ratio rules, Gold Coast was required to return to the government a certain percentage of monies that it did not ultimately use on health care for this Adult Expansion population.
Key Points:
- Under medical loss ratio rules, Gold Coast was required to return to the government a certain percentage of monies that it did not ultimately use on health care for this Adult Expansion population.
- This mechanism allowed the government to adequately fund care for this newly-insured population knowing that any excess amounts would be returned.
- As a result of settlements negotiated with Gold Coast and the favored providers, Gold Coast will pay $17.2 million to the United States and the State of California.
- The settlement was first made public by the United States Department of Justice and the California Attorney General on August 18, 2022.