Ex-investigator for Optum files new federal lawsuit

October 30, 2016

SANTA FE, N.M. (AP) — A former investigator for Optum Health New Mexico is refiling a lawsuit, alleging she was fired for exposing several behavioral health providers’ defrauding of state Medicaid to law enforcement.

The Santa Fe New Mexican reported (http://bit.ly/2eRLJ4Z) Saturday that Karen Clark filed the lawsuit earlier this month after a federal judge dismissed a similar complaint.

The judge said Clark failed to identify which Optum employees were connected to the alleged fraud.

In the suit, Clark names UnitedHealth Group Inc., subsidiary United Healthcare Services as defendants.

Clark, who was employed from October 2011 to April 2012, is asking for double back pay, damages and attorney fees.

Optum Consumer Solutions Group spokeswoman Christine Hauser declined to comment on the new complaint.

The state paid Optum to process reimbursement claims from 2009 to 2014.


Information from: The Santa Fe New Mexican, http://www.sfnewmexican.com

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