Lafayette
337-446-2442
Caffery, Oubre, Campbell & Garrison, L.L.P.
New Iberia
337-352-2310
Service, Integrity, Results

How has Medicaid expansion defrauded Louisiana insurers, taxpayers?

What is one material benefit of commanding a higher salary than Louisiana Gov. John Bel Edwards?

Notably, it is still being able to establish eligibility for enrollment in Medicaid.

That might sound flatly far-fetched to readers of our insurance defense blog across Louisiana. After all, Medicaid is a national health care program that is ostensibly limited to only uninsured and low-income individuals across the country.

Nonetheless, the income restrictions applicable to Medicaid didn’t stop at least one Louisiana individual with an income surpassing the state’s chief executive from garnering program eligibility. In fact, the nonprofit Pelican Institute for Public Policy reveals that alarmingly high numbers of well-heeled state residents are wrongly enrolling in Medicaid expansion that has been occurring over the past several years.

Here’s one stunning takeaway from Pelican’s recent investigative probe: Evidence points to at least 1,600 Louisiana residents enrolled in Medicaid who make more than $100,000 annually. Most of those individuals disenrolled from private health care plans in order to take advantage of Medicaid’s comparatively lower costs.

That reality signals fraud to state regulators, with a special spotlight focusing on Louisiana’s administration of the program. It is estimated that ineligible enrollees are costing the state approximately $100 million annually. Overall, Louisiana reportedly has about 480,000 Medicaid expansion enrollees, which costs the program $2.5 billion each year.

Taxpayers are on the hook for a portion of that amount. And, of course, Medicaid insurance companies regularly pay out huge amounts of money. For obvious reasons, insurers want to see the full extent of program fraud fully spotlighted, with irregularities eliminated.

No Comments

Leave a comment
Comment Information

contact us

With offices in Lafayette and New Iberia, our lawyers represent clients in state and federal courts throughout Louisiana. Contact us today to schedule your case assessment with one of our experienced attorneys. Email or call us at 337-446-2442 to reach our Lafayette office or call 337-352-2310 to reach our New Iberia office.

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Lafayette Office
100 East Vermilion Street
Suite 201
Lafayette, LA 70501

Phone: 337-446-2442
Map & Directions

Lafayette Office

New Iberia Office
800 South Lewis Street
Suite 205
New Iberia, LA 70560

Phone: 337-352-2310
Map & Directions

New Iberia Office