EDITOR’s NOTE: On December 30th, MahanyLaw filed a class action lawsuit against Molina Healthcare of California. The suit was filed on behalf of Dr. Manuel Figueroa, a member of the Associated Hispanic Physicians of Southern California.
The original request to investigate this matter came to us was from Consejo de Latinos Unidos, a/k/a Hispanic Lives Matter, a non profit advocacy group based in Los Angeles, California.
Today, Consejo issued a formal demand on the Office of Inspector General to investigate Molina and also issued a press release. We are reprinting this press release in slightly condensed and edited format, complete with all contact information.
MahanyLaw is a full service, national boutique law firm concentrating in fraud recovery and whistleblower matters. We invite physicians in other states served by Molina to contact us if they have not been properly paid.
MahanyLaw thanks its lawsuit partners in this case, specifically our local counsel, the Law Offices of Robert Barnes (Los Angeles) and O’Neil, Cannon, Holman, DeJong and Laing, S.C. (Milwaukee).
We also invite anyone with information about any type of wrongdoing by Molina or any other Medicare and Medicaid provider. To date, MahanyLaw has filed over 3 dozen anti-fraud lawsuits nation wide.
FOR IMMEDIATE RELEASE: CONTACT: K.B. Forbes 202.320.1212 text or call
CONSEJO RIPS INTO MOLINA HEALTHCARE FOR ALLEGEDLY SHORT-CHANGING LATINO DOCTORS
Class-Action Lawsuit filed and Complaint submitted to HHS Inspector General
EAST LOS ANGELES, CA—Consejo de Latinos Unidos (CDLU), a Hispanic consumer advocacy group and public charity, ripped into Molina Healthcare of California for allegedly not paying Latino physicians their “enhanced payments” due to them from the Affordable Care Act, known as Obamacare.
In a stinging letter to the head of investigations of the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services, K.B. Forbes, the Executive Director of the Consejo wrote, “Economic racism cannot be tolerated. Molina appears to be engaged in grossly deceptive and egregious behavior. We ask for an unprecedented but immediate investigation of Molina’s financial scheme of sitting on federal funds and underpaying Latino physicians and others.”
Last Friday, renowned whistleblower attorney Brian Mahany, (MahanyLaw, Milwaukee, WI) filed a class-action lawsuit on behalf of Dr. Manuel I. Figueroa, a physician who has practiced for over 50-years in the barrios of East Los Angeles, and whose only “enhanced payment” before April of 2016 from Molina was a mere $80.18. “Molina Health has pocketed millions of dollars belonging to hard working physicians. Ironically, the doctors who are serving the poorest and most vulnerable populations are the ones not getting paid,” Mahany declared.
The Affordable Care Act allowed doctors performing certain medical services for low income patients under Medicaid to be paid at same rate as those services if billed to Medicare. The two-year “enhanced payments” program was in place in 2013 and 2014.
Hundreds or thousands of other doctors also may not have been properly paid by Molina. “With annual revenues of over $14 billion, Molina can easily afford to pay its providers what the law requires,” Mahany remarked, adding, “Some doctors have been waiting since 2013 to get paid!”
“Consejo has been investigating these allegations since 2015, and working with Brian Mahany, we hope to obtain fair compensation with interest to these physicians,” Forbes said. “We also hope a probe by the OIG will discourage other insurance companies from abusing providers financially,” he added.
A decade ago, Consejo trigerred three U.S. Congressional hearings and many national media stories on the issue of hospitals overcharging uninsured Latinos and others. After an appearance on CBS’ 60 Minutes, Forbes and his group brought the issue of hospital price gouging to an end when the American Hospital Association told hospitals to charge charity and uninsured patients not more than Medicare’s rate plus 25 percent.