August 18, 2022
The organized healthcare system for Ventura County, as well as three healthcare providers, have agreed to pay a combined total of $70.7 million
to resolve allegations of violating the California and federal False Claims Acts in connection with Medi-Cal’s Adult Expansion program, which extended coverage to previously uninsured adults without dependents. Gold Coast Health Plan
, Dignity Health
, Clinicas del Camino Real, Inc.
, and Ventura County
(the owner and operator of Ventura County Medical Center) allegedly submitted, or caused to be submitted, bills for unallowed expenses, bills for “Additional Services” that were duplicative of services already required, and bills with pre-determined costs that weren’t reflective of fair market value. CA AG
; USAO CDCA