In a rural Texas clinic, a pediatrician looks at her patient list and sees more red ink than diagnoses. Her reimbursements from Centene, the state’s largest Medicaid contractor, are weeks overdue. Claims she submitted months...

Medicaid fraud on the scale committed by Centene should have triggered a political earthquake. Twenty-two state settlements. More than $1.25 billion returned to taxpayers. Mountains of evidence showing inflated drug prices, manipulated billing, and patients...

A decade ago, Medicaid fraud was a human operation: paper trails, manual overrides, and strategic obfuscation. Today, the denial was digitized. Medicaid patients now face a new kind of rejection, not from a human reviewer,...

Centene has paid more than $1 billion to settle Medicaid fraud allegations across 22 states. These weren’t technical glitches. They were deliberate schemes involving overbilling through opaque pharmacy benefit structures, denying care, and quietly cutting...

Centene has paid more than $1 billion to settle pharmacy benefit manager (PBM) fraud claims across over 20 states. These were not isolated billing errors. They were systemic practices involving spread pricing, inflated invoices, and...