Labs overcharge Medi-Cal

March 20, 2009 9:17:36 PM PDT
The state of California is suing seven private medical labs for systematically overcharging Medi-Cal, the state's health care program for the poor.

SIGN-UP: Get breaking news sent to you

California Attorney General Jerry Brown says the labs siphoned off hundreds of millions of dollars by issuing deep discounts to private practice customers, but charging Medi-Cal as much as six times more for the same tests.

The investigation began when the state was notified by the owner of a Bay Area lab that wouldn't cut its prices to match the illegal discounts.

"The physicians said the groups said 'We'd love to work with you if you can match these prices,' and they couldn't match the prices in many cases because the prices being offered by these defendants were far below cost," said Justin Berger, a whistleblower's attorney.

Prosecutors say in exchange for the steep discounts, the defendants expected their customers to refer all of their other patients to their lab.

Under state law, that amounts to an illegal kickback.

Most of the labs are in Southern California.

       Today's latest headlines | ABC7 News on your phone
Follow us on Twitter | Fan us on Facebook | Get our free widget


Load Comments