Horizon Blue Cross Blue Shield , New Jersey's largest health insurer, has agreed to pay the state $100 million to settle claims that it defrauded the public employees' medical plan by overcharging for services, officials announced on Friday, Nov. 14.
Horizon executives intentionally violated a provision in its 2020 contract with the state that ensured New Jersey would never pay more for medical services than the amounts doctors, hospitals and other providers charged for them, Attorney General Matthew Platkin said at a news conference in Newark.
"Horizon never intended to keep that promise, nor did it," reads a lawsuit by Platkin against Horizon that was unsealed Friday in federal court.
A Horizon spokesperson did not immediately issue a response to the settlement.
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