Whether or not you rely on it, you have probably heard of the Medicaid system and have some understanding of its benefits. The state and federal governmant insurance program provides health care funding for people who cannot afford to pay for it on their own. For many low-income families, senior citizens and people with disabilities, it is the only avenue to basic and necessary medical services. Because taxpayers contribute to the funding of Medicaid, any attempt to defraud this system negatively affects just about everyone.
A case of alleged Medicaid fraud that began with a whistleblower lawsuit has resulted in a $4.5 million settlement involving Massachusetts' Medicaid program and Caremark, a nationwide pharmacy benefit manager. Caremark handles the distribution of prescription drugs and claims processing in conjunction with both private health care providers and Medicaid.