A settlement has been reached in a whistleblower class action lawsuit brought against TriWest Healthcare Alliance Corporation who is accused of submitting claims to TRICARE at higher rates billed by the providers.
The four whistleblowers that filed this case will receive $1.7 million as their share of the government’s recovery.
Originally filed August 2008, the United States alleged that between 2004 and 2010, TriWest failed to give TRICARE the benefit of negotiated discounts with service providers under letters of agreement (LOAs). Notwithstanding contractually binding LOAs with health care providers, TriWest submitted claims to TRICARE at higher rates billed by the providers, failing to pass on to TRICARE the savings negotiated through the LOAs.
