Centene Sued After Enrollees Say They Can’t Find Doctors To Take Their Plans
“Centene misrepresents the number, location and existence of purported providers," the lawsuit claims. Centene, which also provides coverage to low-income individuals under the government Medicaid program, has proved to be one of the mainstays of the Affordable Care Act.
The New York Times:
Health Insurer Centene Is Sued Over Lack Of Medical Coverage
People who bought policies from Centene, a large for-profit health insurance company, filed a federal lawsuit on Thursday claiming the company does not provide adequate access to doctors in 15 states. “Members have difficulty finding — and in many cases cannot find — medical providers,” who will accept patients covered under policies sold by Centene, according to the lawsuit filed in federal court in Washington State. (Abelson, 1/11)
The Hill:
Lawsuit Filed Against ObamaCare Insurer Over Coverage
According to the lawsuit, Centene targets low-income customers who qualify for substantial government subsidies “while simultaneously providing coverage well below what is required by law and by its policies.” A spokeswoman for the company told The Hill they have not been served papers and only learned of the lawsuit Thursday morning. “We believe our networks are adequate. We work in partnership with our states to ensure our networks are adequate and our members have access to high quality health care,” Marcela Manjarrez Hawn said in an email. (Weixel, 1/11)
Bloomberg:
Centene's Narrow Approach To Obamacare Plans Targeted By Lawsuit
Centene, which specializes in covering low-income individuals, has been expanding in the Affordable Care Act’s marketplaces even as rivals retreat. That has left consumers in some parts of the country with little choice of Obamacare plans; in many counties where it expanded, Centene is the only insurer offering coverage under the health law. The company, based in St. Louis, now has more than 1.4 million customers in its ACA plans across 15 states, placing it among the largest insurers in the program. (Tracer, 1/11)
