Although Clinicas entered into a health care fraud settlement with the United States, Clinicas refused to agree to compliance-related oversight with HHS-OIG through a CIA. Therefore, as part of the Settlement Agreement, OIG reserved the right to exclude Clinicas for the alleged conduct. Because Clinicas refused appropriate integrity obligations, OIG may use various tools to monitor Clinicas’s compliance with the Federal health care programs.
ENFORCEMENT ACTIONS
Attorney General Bonta, U.S. Department of Justice Secure $70.7 Million in Settlements Against a Southern California County Organized Health System and Three Healthcare Providers for Violations of the False Claims Act
Penalty Amount: $0
Filed under: State Enforcement Agencies
OAKLAND — California Attorney General Rob Bonta, in partnership with the U.S. Department of Justice, today secured three settlements totaling $70.7 million against a Southern California County Organized Health System, Gold Coast Health Plan (Gold Coast), and three Medi-Cal providers: Dignity Health (Dignity), Clinicas del Camino Real, Inc. (Clinicas), and Ventura County, the owner and operator of Ventura County Medical Center, for submitting fraudulent claims to Medi-Cal in violation of the state and federal False Claims Acts.